NPIMap

Individual provider Active NPI

Young-Jik Lee, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1447271036
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A81390 Issued in CA
Practice address
3663 W 6TH St Ste 103
Los Angeles, CA 90020-3047
Phone
(213) 383-9388
Fax
(213) 381-8660
NPI assigned
Jul 21, 2006
Last updated
Mar 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A81390 CA Primary

Addresses

Primary practice location

3663 W 6TH St Ste 103
Los Angeles, CA 90020-3047

Mailing address

3663 W 6TH St Ste 103
Los Angeles, CA 90020-3047
Phone (213) 383-9388

Other identifiers 1

IdentifierTypeStateIssuer
00A813900MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041202000604 CA Practitioner - Internal Medicine 1355307265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Y J Lee MD CorpGroup PAC ID 5193955920, 2 clinicians

Practice addresses (Care Compare)

266 S Harvard Blvd
Suite 100
Los Angeles, CA 90004-4374

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81390CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Y J Lee MD Corp Internal Medicine CurrentSince Jan 27, 2014 Accepting new patients
Y J Lee MD Corp Internal Medicine CurrentSince Jan 27, 2014 Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

266 S Harvard Blvd
Ste 100
Los Angeles, CA 90004
Phone (213) 383-9388

3030 W Olympic Blvd
Ste 206
Los Angeles, CA 90006
Phone (213) 322-2666

3663 W 6th St
Ste 103
Los Angeles, CA 90020
Phone (213) 388-5144

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1447271036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 W 6TH ST STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203047",
            "telephone_number": "213-383-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 W 6TH ST STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203047",
            "telephone_number": "213-383-9388",
            "fax_number": "213-381-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YOUNG-JIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A813900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.