Individual provider Active NPI

Jiny Lee, DAOM

  • Acupuncturist
  • Pasadena, CA
National Provider Identifier
1548726490
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
15052 Issued in CA
Practice address
650 Cordova St Apt 3
Pasadena, CA 91101-2531
Phone
(626) 258-9752
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 15052 CA Primary

Addresses

Primary practice location

650 Cordova St Apt 3
Pasadena, CA 91101-2531

Mailing address

650 Cordova St Apt 3
Pasadena, CA 91101-2531
Phone (626) 258-9752

Other practice location 1

3030 Sawtelle Blvd
Los Angeles, CA 90066-1408
Phone (310) 390-9018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Advantage Physical Medicine Inc Past Accepting new patients
Health Atlast West la Inc Past Accepting new patients
Health Advantage Health and Wellness Center Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1548726490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CORDOVA ST APT 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012531",
            "telephone_number": "626-258-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CORDOVA ST APT 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012531",
            "telephone_number": "626-258-9752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Sawtelle Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900661408",
            "country_code": "US",
            "telephone_number": "310-390-9018",
            "fax_number": "310-390-0868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JINY",
        "credential": "DAOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.