Active NPI
Young Soo Lee, MD
- Family Medicine Physician
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A181586
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A181586 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| The Regents of the University of California | Family Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Regents of the University of California | Family Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
Family Medicine
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
- Internal Medicine Physician
- Glendale, CA
- NPI 1891110888
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
- NPI 1891981502
-
- Durable Medical Equipment & Medical Supplies
- Woodland Hills, CA
- NPI 1083063127
-
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.