Jee Eun Lee

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95021150 Issued in CA

Practice address

5832 Beach Blvd Unit 209
Buena Park, CA 90621-5501

Phone

(714) 676-5541

Fax

(714) 676-5542

NPI assigned

Jul 30, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jee.lee@2478.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nuvation Pain Group

  • Interventional Pain Medicine Physician
  • Buena Park, CA
  • NPI 1346616695
  Medicare reassignment NPD
• Nuvation Pain Group

  • Durable Medical Equipment & Medical Supplies
  • Buena Park, CA
  • NPI 1346792462
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1386370419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 OAKCREST DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092465",
            "telephone_number": "626-465-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5832 BEACH BLVD UNIT 209",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906215501",
            "telephone_number": "714-676-5541",
            "fax_number": "714-676-5542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 S Virgil Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900201443",
            "country_code": "US",
            "telephone_number": "213-622-0021",
            "fax_number": "714-676-5542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JEE",
        "middle_name": "EUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-30",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hey Lee
• Hyemin Lee
• Iris Yeseul Lee, L.AC
• Janet K Lee, DPT
• Jason J Lee, DC
• Jeong Su Lee
• Ji Young Lee, MSN, NP-C
• Jiwoo Lee, RPH
• Joanne Lee, L.AC.
• Joohyung Lee

• Family Nurse Practitioner in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.