Individual provider Active NPI

Le-Young Lee, MD

  • Internal Medicine Physician
  • San Gabriel, CA
National Provider Identifier
1861417586
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G77879 Issued in CA
Practice address
127-B W Las Tunas Drive
San Gabriel, CA 91776
Phone
(626) 457-8600
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G77879 CA Primary

Addresses

Primary practice location

127-B W Las Tunas Drive
San Gabriel, CA 91776

Mailing address

127-B W Las Tunas Drive
San Gabriel, CA 91776
Phone (626) 457-8600

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
I20101122001366 CA Practitioner - Internal Medicine 3274423819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

127 W Las Tunas Dr
Suite B
San Gabriel, CA 91776-5303
Phone (626) 457-8600

Hospital & facility affiliations

  • Usc Arcadia Hospital Hospital, Arcadia, CA, CCN 050238
  • San Gabriel Valley Medical Center Hospital, San Gabriel, CA, CCN 050132
  • Live Oak Rehab Center Nursing home, San Gabriel, CA, CCN 056127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G77879CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medex Medical Group Inc Internal Medicine CurrentSince Jul 13, 1999 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Dignity Community Care Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

25 S Raymond Ave
Ste 201
Alhambra, CA 91801
Phone (626) 457-8600

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

127 W Las Tunas Dr
Ste B
San Gabriel, CA 91776
Phone (626) 457-8600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1861417586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127-B W LAS TUNAS DRIVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-457-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127-B W LAS TUNAS DRIVE",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "91776",
            "telephone_number": "626-457-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LE-YOUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G77879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.