Individual provider Active NPI

Michelle Minkyung Lee

  • Speech-Language Pathologist
  • Los Angeles, CA
National Provider Identifier
1821605627
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
6060 W Manchester Ave Ste 203
Los Angeles, CA 90045-4266
Phone
(909) 518-1968
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

6060 W Manchester Ave Ste 203
Los Angeles, CA 90045-4266

Mailing address

6060 W Manchester Ave Ste 203
Los Angeles, CA 90045-4266
Phone (909) 518-1968

Other identifiers 1

IdentifierTypeStateIssuer
14874MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Northwestern University Feinberg Medical School, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6060 W Manchester Ave
Suite 203
Los Angeles, CA 90045-4266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wonder Talk Speech and Language Therapy, Inc. Speech-Language Pathologist CurrentSince Oct 13, 2024 Accepting new patients
Expressive Connections, Inc. Speech-Language Pathologist PastSince Sep 1, 2020 Accepting new patients

Locations

6060 W Manchester Ave
Ste 203
Los Angeles, CA 90045
Phone (310) 776-5259

Organizations & group practices 2

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": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1821605627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 W MANCHESTER AVE STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454266",
            "telephone_number": "909-518-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 W MANCHESTER AVE STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900454266",
            "telephone_number": "909-518-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHELLE",
        "middle_name": "MINKYUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14874",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.