Daesoon Leem, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

A155852 Issued in CA

Practice address

866 S Westmoreland Ave Ste 101
Los Angeles, CA 90005-2372

Phone

(800) 821-5675

Fax

(213) 315-5195

NPI assigned

Jul 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Family PracticeAlso: Sports Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ace Home Health, Inc. Home health agency, Los Angeles, CA, CCN 058082
• Select Care Home Health Services Inc Home health agency, Los Angeles, CA, CCN 058219
• Olympia Convalescent Hospital Nursing home, Los Angeles, CA, CCN 056321

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBFCCD
• FHIR API: https://fhir4.healow.com/fhir/r4/FDJDCD

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.

• Baron Medical Group

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1740969591
  Medicare reassignment NPD Authorized official
• Smart Urgent Care Center

  • Urgent Care Clinic/Center
  • Los Angeles, CA
  • NPI 1740021716
  Medicare reassignment NPD Authorized official
• Jonah Medical Group, Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1942591847
  Medicare reassignment NPD
• Kwang He Won Health Center

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1699232454

  General Practice

  Medicare reassignment NPD
• M4U Center Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1124784079
  NPD
• Good Samaritan Hospital, L.P.

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1376595777
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 1100 South Alvarado Street, LLC

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1114291523

  Nursing home

  Care Compare affiliation
• Ace Home Health, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1205808326
  Care Compare affiliation
• Select Care Home Health Services, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1205835873
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1902289226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S VIRGIL AVE STE 465",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054017",
            "telephone_number": "213-210-3916",
            "fax_number": "213-205-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 S WESTMORELAND AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052372",
            "telephone_number": "800-821-5675",
            "fax_number": "213-315-5195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3663 W 6th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900203047",
            "country_code": "US",
            "telephone_number": "800-821-5675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12506 South St",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "90703",
            "country_code": "US",
            "telephone_number": "800-821-5675",
            "fax_number": "562-809-2672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEEM",
        "first_name": "DAESOON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-06",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A155852",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A155852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patsaraporn Leedilokpat
• Hayden Simpson Leeds, MD
• Kenneth Leeds, M.D.
• Ciana Leehang
• Saowaluck Leelaluckanakul-Tran, D.O.
• Sandra Leem
• Alyson Lees, LMFT
• Christopher Richard Lees, MD
• Michael Christopher Leeson, MD
• Jennifer Gabrielle Leet, M.D.

• Sports Medicine (Family Medicine) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.
• 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.