Active NPI
Heewon Lee
- Surgery Physician
- Los Angeles, CA
National Provider Identifier
1457053217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 16321
- Practice address
- 1975 Zonal Ave
Los Angeles, CA 90089-5601 - Phone
- (323) 442-1100
- NPI assigned
- Mar 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 16321 | CA | Primary |
Addresses
Primary practice location
1975 Zonal Ave
Los Angeles, CA 90089-5601
Mailing address
1975 Zonal Ave
Los Angeles, CA 90089-5601
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240925003295 | CA | Order and Referring Only - General Surgery | 2062953441 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1457053217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 ZONAL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900895601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 ZONAL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900895601",
"telephone_number": "323-442-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "HEEWON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-17",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "16321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.