Individual provider Active NPI

Julia Shin Lee, M.D.

  • Allergy & Immunology Physician
  • Los Angeles, CA
National Provider Identifier
1700225422
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A133831 Issued in CA
Practice address
2080 Century Park E Ste 810
Los Angeles, CA 90067-2011
Phone
(310) 556-1377
Fax
(310) 556-1650
NPI assigned
Jun 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A133831 CA Primary

Addresses

Primary practice location

2080 Century Park E Ste 810
Los Angeles, CA 90067-2011

Mailing address

2080 Century Park E Ste 810
Los Angeles, CA 90067-2011
Phone (310) 556-1377

Other names 1

  • Julia Soojung Shin Former name

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
I20190325001614 CA Practitioner - Allergy/Immunology 6709173438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Tulane University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marc J Meth MD IncGroup PAC ID 8123273828, 3 clinicians

Practice addresses (Care Compare)

2080 Century Park E
Suite 810
Los Angeles, CA 90067-2011
Phone (310) 556-1377

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A133831CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Allergy & Asthma Assoc Allergy & Immunology CurrentSince Nov 30, 2023 Accepting new patients
Joyce Schoettler M D a Professional Corporation Allergy & Immunology CurrentSince Jul 1, 2026 Accepting new patients
Marc J. Meth, M.D., Inc. CurrentSince May 1, 2025 Accepting new patients

Locations

390 N Pacific Coast Hwy
Ste 1060
El Segundo, CA 90245
Phone (310) 371-1388

2080 Century Park E
Ste 810
Los Angeles, CA 90067
Phone (310) 556-1377

20911 Earl St
Ste 301
Torrance, CA 90503
Phone (310) 371-1388

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": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1700225422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 810",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672011",
            "telephone_number": "310-556-1377",
            "fax_number": "310-556-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 810",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672011",
            "telephone_number": "310-556-1377",
            "fax_number": "310-556-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JULIA",
        "middle_name": "SHIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-15",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A133831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "SHIN",
            "middle_name": "SOOJUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.