Yongjin Lee, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

CPO04344 Issued in CA

Practice address

1127 Wilshire Blvd Ste 310
Los Angeles, CA 90017-3913

Phone

(213) 250-7850

Fax

(213) 250-7363

NPI assigned

Jul 27, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1518630490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173913",
            "telephone_number": "213-250-7850",
            "fax_number": "213-250-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173913",
            "telephone_number": "213-250-7850",
            "fax_number": "213-250-7363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 S Fair Oaks Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052654",
            "country_code": "US",
            "telephone_number": "626-403-8174",
            "fax_number": "626-403-8175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "YONGJIN",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CA",
            "license": "CPO04344",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "CA",
            "license": "CPO04344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yester Jung Lee
• Yong H Lee, OMD
• Yong Kwon Lee, L.AC.
• Yong Tai Lee, M.D.
• Yongjae Lee, DDS
• Yoon Ho Reuben Lee, D.C.
• Yoon Kyung Lee
• Yoon Kyung Lee
• Yoona Lee, MD
• Yoonjin Lee, MSW

• Prosthetist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Prosthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.