NPIMap

Individual provider Active NPI

Moses Ain Lee, D.O.

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1821433533
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A15570 Issued in CA
Practice address
700 N Brand Blvd Ste 1400
Glendale, CA 91203-4263
Phone
(818) 839-5200
NPI assigned
May 8, 2013
Last updated
Nov 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 20A15570 CA Primary

Addresses

Primary practice location

700 N Brand Blvd Ste 1400
Glendale, CA 91203-4263

Mailing address

450 Clarkson Ave # 50
Brooklyn, NY 11203-2012

Other practice location 1

450 Clarkson Ave # 50
Brooklyn, NY 11203-2012
Phone (718) 245-3325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816004461 CA Practitioner - Internal Medicine 7517239130 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Cedar Springs Hospitalist Medical Group IncGroup PAC ID 6406199868, 26 clinicians
Palomar Emergency Physicians, IncGroup PAC ID 9830593730, 71 clinicians
Sera Ramadan DO IncGroup PAC ID 2567898505, 2 clinicians
Aaron K Tran MD IncGroup PAC ID 2365608890, 5 clinicians

Practice addresses (Care Compare)

1420 S Central Ave
Glendale, CA 91204-2508
Phone (818) 502-1900

15615 Pomerado Rd
Poway, CA 92064-2405
Phone (310) 379-2134

222 W Eulalia St
Glendale, CA 91204-2851
Phone (213) 238-5887

22910 Crenshaw Blvd
Suite a
Torrance, CA 90505-3060
Phone (310) 294-9444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15570CAMDInternal Medicine Physician
15570CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ca Hospital Hospitalist Medical Group Inc CurrentSince Apr 1, 2019 Accepting new patients
Palomar Emergency Physicians, Inc CurrentSince Jul 5, 2025 Accepting new patients
Sera Ramadan, D.O., Inc Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Aaron K Tran MD Inc Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Pih Health Physicians CurrentSince Jan 16, 2021 Accepting new patients
Pih Health Physicians Current Accepting new patients
Pih Health Physicians Internal Medicine CurrentSince Jan 16, 2021 Accepting new patients
Torrance Premier Health, Inc. Past Accepting new patients

Locations

222 W Eulalia St
Ste 201
Glendale, CA 91204
Phone (213) 238-5887

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1711 W Temple St
Ste 4691
Los Angeles, CA 90026
Phone (213) 238-5887

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

22910 Crenshaw Blvd
Ste A
Torrance, CA 90505
Phone (310) 294-9444

23639 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 370-4660

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1821433533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE # 50",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N BRAND BLVD STE 1400",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034263",
            "telephone_number": "818-839-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave # 50",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-245-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MOSES",
        "middle_name": "AIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A15570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.