Individual provider Active NPI

Woo Sok Lee, M.D.

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1386663185
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A85330 Issued in CA
Practice address
316 E Broadway
Suite B
Glendale, CA 91205-1011
Phone
(818) 956-2001
Fax
(818) 956-6331
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A85330 CA Primary

Addresses

Primary practice location

316 E Broadway
Suite B
Glendale, CA 91205-1011

Mailing address

PO Box 27206
Los Angeles, CA 90027-0206
Phone (213) 385-0675

Other identifiers 1

IdentifierTypeStateIssuer
A85330OtherCALICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000753 CA Practitioner - Family Practice 5496746000 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15446 S Western Ave
Gardena, CA 90249-4319
Phone (310) 217-5300

25821 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111

25825 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111

25965 Normandie Ave
Harbor City, CA 90710-3416
Phone (310) 325-5111

25975 Normandie Ave
Harbor City, CA 90710-3416
Phone (310) 257-6115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 10, 2015 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 15, 2023 Accepting new patients
Anaheim Urgent Care, Inc. Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 10, 2015 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Mar 1, 2022 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 15, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine Current Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

316 E Broadway
#B
Glendale, CA 91205
Phone (818) 956-2001

424 W Broadway
Glendale, CA 91204
Phone (818) 796-5396

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

1120 W Washington Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1386663185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900270206",
            "telephone_number": "213-385-0675",
            "fax_number": "213-365-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E BROADWAY",
            "address_2": "SUITE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051011",
            "telephone_number": "818-956-2001",
            "fax_number": "818-956-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "WOO",
        "middle_name": "SOK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A85330",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "25825 Vermont Ave",
            "city": "Harbor City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907103518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.