Individual provider Active NPI

Daniel Joongoo Lee, DO, MPH

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1770106478
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A20976 Issued in CA
Practice address
1701 E Cesar E Chavez Ave Ste 230
Los Angeles, CA 90033-2496
Phone
(323) 226-1100
Fax
(323) 226-1101
NPI assigned
May 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A20976 CA Primary

Addresses

Primary practice location

1701 E Cesar E Chavez Ave Ste 230
Los Angeles, CA 90033-2496

Mailing address

1701 E Cesar E Chavez Ave Ste 230
Los Angeles, CA 90033-2496
Phone (323) 226-1100

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
I20230725003267 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9234590175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Specialists Medical CorporationGroup PAC ID 6709834112, 25 clinicians

Practice addresses (Care Compare)

1701 E Cesar E Chavez Ave
Los Angeles, CA 90033-2496
Phone (323) 255-5643

Hospital & facility affiliations

  • Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Family Care Specialists Medical Corporation Family Medicine CurrentSince Sep 5, 2023 Accepting new patients
Family Care Specialists Medical Corporation Family Medicine CurrentSince Sep 5, 2023 Accepting new patients
White Memorial Medical Center Past Accepting new patients
St. Mary Medical Center Past Accepting new patients

Locations

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

5823 York Blvd
Ste 4
Los Angeles, CA 90042

5823 York Blvd
Ste 3
Los Angeles, CA 90042
Phone (323) 255-5643

1701 E Cesar E Chavez Ave
Ste 230
Los Angeles, CA 90033
Phone (323) 226-1100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: daniel.lee.1@24668.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1770106478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE STE 230",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332496",
            "telephone_number": "323-226-1100",
            "fax_number": "323-226-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE STE 230",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332496",
            "telephone_number": "323-226-1100",
            "fax_number": "323-226-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DANIEL",
        "middle_name": "JOONGOO",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A20976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.