Y J Lee MD Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

Y J LEE MD CORP

Practice address

3030 W Olympic Blvd
Ste 206
Los Angeles, CA 90006-6501

Phone

(213) 739-8610

Fax

(213) 739-5771

NPI assigned

Nov 13, 2013

Organization subpart

No

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

Authorized official

Name

Young-Jik Lee

Title

MD

Phone

(213) 739-8610

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Y J Lee MD Corp

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1336581123

  O20140224000343

  Same enrollment
• Y J Lee MD Corp

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1952976359

  O20140224000343

  Same enrollment

Locations

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1679903595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044373",
            "telephone_number": "818-300-6143",
            "fax_number": "213-739-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W OLYMPIC BLVD",
            "address_2": "STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066501",
            "telephone_number": "213-739-8610",
            "fax_number": "213-739-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y J LEE MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YOUNG-JIK",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "213-739-8610"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Xue
• Veronica Jing Ying Xue, NP
• Y & Y Medical Inc
• Y & Y Recovery
• Y J Lee MD Corp
• Y&Z Westwood Surgical Pathology Lab Inc
• Keith Joseph Yablonicky, M.D.
• Julie M Yabu, MD
• Ken Keiji Yabuki, MFT
• Jamie Akemi Yabuno

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.