Individual provider Active NPI

Young Soo Lee, MD

  • Family Medicine Physician
  • Marina del Rey, CA
National Provider Identifier
1407318587
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A181586 Issued in CA
Practice address
4560 Admiralty Way Ste 100
Marina del Rey, CA 90292-5424
Phone
(310) 827-3700
NPI assigned
Apr 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 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 A181586 CA Primary

Addresses

Primary practice location

4560 Admiralty Way Ste 100
Marina del Rey, CA 90292-5424

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

2075 E Flamingo Rd
Las Vegas, NV 89119-5188
Phone (702) 388-4000

Other practice location 2

1050 W Galleria Dr
Henderson, NV 89011-4800
Phone (702) 963-7000

Other practice location 3

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 853-3000

Other practice location 4

657 N Town Center Dr
Las Vegas, NV 89144-6367
Phone (702) 233-7000

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
I20230221001344 CA Practitioner - Family Practice 4880920966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 1355248584, 1,426 clinicians

Practice addresses (Care Compare)

10250 Santa Monica Blvd
Suite 2440
Los Angeles, CA 90067-6469
Phone (310) 286-0122

11980 San Vicente Blvd
Suite 102
Los Angeles, CA 90049-5012
Phone (310) 208-7777

13160 Mindanao Way
Suite 301
Marina del Rey, CA 90292-6358
Phone (310) 301-0230

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

23815 Stuart Ranch Rd
Malibu, CA 90265-4861

2424 Wilshire Blvd
Santa Monica, CA 90403-5806
Phone (310) 828-4530

4323 W Riverside Dr
Burbank, CA 91505-4044
Phone (818) 556-2700

4560 Admiralty Way
Suite 100
Marina del Rey, CA 90292-5424
Phone (310) 827-3700

6000 Sepulveda Blvd
Suite E10
Culver City, CA 90230-6421
Phone (310) 313-0020

6344 Topanga Canyon Blvd
Suite 2040
Woodland Hills, CA 91367-2362
Phone (818) 610-0292

Hospital & facility affiliations

  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A181586CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Aug 1, 2023 Accepting new patients
The Regents of the University of California CurrentSince Aug 1, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 14, 2022 Accepting new patients
The Regents of the University of California Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 14, 2022 Accepting new patients
Regents of the University of California Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine Current Accepting new patients
UCLA Medical Group Family Medicine Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

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

6000 Sepulveda Blvd
Ste E10
Culver City, CA 90230
Phone (310) 313-0020

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

10250 Santa Monica Blvd
Ste 2440
Los Angeles, CA 90067
Phone (310) 286-0122

File 59755
Los Angeles, CA 90074

File 55737
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

23815 Stuart Ranch Rd
Ste 301
Malibu, CA 90265
Phone (310) 317-0034

4560 Admiralty Way
Ste 100
Marina del Rey, CA 90292
Phone (310) 656-1770

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

2444 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 867-3737

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

Interoperability endpoints

  • Direct secure messaging: ylee1189265@direct.uclahealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1407318587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY STE 100",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925424",
            "telephone_number": "310-827-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2075 E Flamingo Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195188",
            "country_code": "US",
            "telephone_number": "702-388-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 W Galleria Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890114800",
            "country_code": "US",
            "telephone_number": "702-963-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 S Rainbow Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891181859",
            "country_code": "US",
            "telephone_number": "702-853-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "657 N Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446367",
            "country_code": "US",
            "telephone_number": "702-233-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "YOUNG",
        "middle_name": "SOO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A181586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

Verify at the official NPI Registry.