Jae W Lee, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A032086 Issued in CA

Practice address

3780 Wilshire Blvd
6TH FL
Los Angeles, CA 90010-2805

Phone

(213) 739-1416

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: jlee1181168@direct.uclahealth.org
• FHIR API: https://fhir4.healow.com/fhir/r4/FDJDCD

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.

• Kwang He Won Health Center

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1699232454

  General Practice

  Medicare reassignment NPD
• Andrew S. Florea MD, Inc.

  • Otolaryngology Physician
  • Corona, CA
  • NPI 1437471455
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639265143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 WILSHIRE BLVD",
            "address_2": "6TH FL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102805",
            "telephone_number": "213-739-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 WILSHIRE BLVD",
            "address_2": "6TH FL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102805",
            "telephone_number": "213-739-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAE",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A032086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Lee
• Jackson K. Lee, MD
• Jae Eun Lee, MD
• Jae H. Lee, M.D.
• Jae Ho Lee
• Jae Woo Lee, MD
• Jae Yong Lee, D.D.S.
• Jae Yong Lee, PT, DPT, CSCS, TSACF
• Jaehee Lee, FNP-BC
• Jaejoon Lee

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.