Active NPI
Myung Hoon Lee, MD
- Family Medicine Physician
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A45901
- Practice address
- 14600 Sherman Way Ste 300
Van Nuys, CA 91405-2272 - Phone
- (818) 787-4770
- Fax
- (818) 787-2700
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A45901 | CA | Primary |
Addresses
Primary practice location
14600 Sherman Way Ste 300
Van Nuys, CA 91405-2272
Mailing address
14614 Victory Blvd
Van Nuys, CA 91411-1621
Phone (818) 787-4770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A459011 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Ae Urgent Care - Van Nuys | Past | Accepting new patients | |
| Victory Medical Clinic | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
14600 Sherman Way
Ste 300
Van Nuys, CA 91405
Phone (818) 208-7138
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Urgent Care Clinic/Center
- Van Nuys, CA
- NPI 1265172266
-
- General Practice Physician
- Van Nuys, CA
- NPI 1316796436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1821175811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14614 VICTORY BLVD",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914111621",
"telephone_number": "818-787-4770",
"fax_number": "818-787-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14600 SHERMAN WAY STE 300",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052272",
"telephone_number": "818-787-4770",
"fax_number": "818-787-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MYUNG",
"middle_name": "HOON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A45901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A459011",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.