Y J Lee MD Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

Y J LEE MD CORP

Practice address

16912 Sherman Way
Van Nuys, CA 91406-3613

Phone

(818) 881-9444

Fax

(818) 343-8943

NPI assigned

May 26, 2021

Organization subpart

No

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

Authorized official

Name

Young-Jik Lee, MDNPI 1447271036

Title

Owner

Phone

(213) 383-9388

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Y J Lee MD Corp

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1336581123

  O20140224000343

  Same enrollment
• Y J Lee MD Corp

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1679903595

  O20140224000343

  Same enrollment

Tax ID family

Pacific Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Y J Lee MD Corp

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1336581123
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Young-Jik Lee, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1447271036
  NPD Authorized official
• Cheong W Choi, MD

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1093800138
  NPD
• Chanyoung Kim

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1003310517
  NPD
• Lisa Lee Kim

  • Internal Medicine Physician
  • Van Nuys, CA
  • NPI 1104169796
  NPD

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1952976359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16912 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063613",
            "telephone_number": "818-881-9444",
            "fax_number": "818-343-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16912 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063613",
            "telephone_number": "818-881-9444",
            "fax_number": "818-343-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y J LEE MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YOUNG-JIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-383-9388",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Wright
• Ryan Wyatt
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• Y & Y Home Health
• Y&Y Discount Pharmacy
• Gabriel Yac-Velasquez
• David Yacoub, MD
• Joseph Yacoub, MD
• Michael Yacoub

• Internal Medicine Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.