Individual provider Active NPI

Gene Kyu Lee, MD, MPH

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1558737312
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
137145 Issued in CA
Practice address
1520 San Pablo Street, HCT 4300
Los Angeles, CA 90033
Phone
(323) 442-9064
NPI assigned
Aug 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 137145 CA Primary

Addresses

Primary practice location

1520 San Pablo Street, HCT 4300
Los Angeles, CA 90033

Mailing address

1520 San Pablo Street, HCT 4300
Los Angeles, CA 90033
Phone (323) 442-9064

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830002098 CA Practitioner - Plastic and Reconstructive Surgery 5890234009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feldmar Medical CorporationGroup PAC ID 3678769478, 2 clinicians

Practice addresses (Care Compare)

8907 Wilshire Blvd
Suite 100
Beverly Hills, CA 90211-1928
Phone (310) 820-2111

9735 Wilshire Blvd
Suite 308
Beverly Hills, CA 90212-2105
Phone (310) 247-3777

Hospital & facility affiliations

  • Starlight Home Health Services Home health agency, Burbank, CA, CCN 553197
  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue195
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
137145CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gene K Lee Medical Corporation Surgery CurrentSince Jul 17, 2024 Accepting new patients
Feldmar Medical Corporation CurrentSince Nov 15, 2024 Accepting new patients

Locations

8907 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 453-6500

9735 Wilshire Blvd
Ste 308
Beverly Hills, CA 90212
Phone (310) 247-3777

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1558737312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 SAN PABLO STREET, HCT 4300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-442-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SAN PABLO STREET, HCT 4300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-442-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GENE",
        "middle_name": "KYU",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "137145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.