Richard Jung Hoon Lee, MD
Individual provider Active NPI Internal Medicine Physician · Palos Verdes Estates, CA
NPI 1447414396 · NPPES record last updated Nov 17, 2021
Key facts
- NPI
- 1447414396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A101616 (CA)
- Practice address
- 768 Via del Monte
Palos Verdes Estates, CA 90274-1668 - Phone
- (310) 780-0318
- NPI assigned
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090313000076 | CA | Practitioner - Internal Medicine | 3779649934 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101616 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients |
Locations
9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3340
25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111
393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A101616 | CA | Yes |
Addresses
Primary practice location
768 Via del Monte
Palos Verdes Estates, CA 90274-1668
Mailing address
768 Via del Monte
Palos Verdes Estates, CA 90274-1668
Phone (310) 780-0318
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 |
Other providers in Palos Verdes Estates, CA
- Steven Neil Kolodny
- Theresa Diane Kruger
- Shelly McFadden Kumar
- Lawrence Lau
- Gavin Lee
- Sanford K Lee
- Sean H Lee
- Melvyn Matthew Lewin
- Carol Anne Lindberg
- Danielle Lindgren
All providers in Palos Verdes Estates, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.