Individual provider Active NPI

Pen Hong Lee, MD

  • Internal Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1992807267
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A44281 Issued in CA
Practice address
600 N Garfield Ave
#110
Monterey Park, CA 91754
Phone
(626) 571-6641
Fax
(626) 571-6643
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A44281 CA
Internal Medicine Physician 207R00000X A44281 CA Primary

Addresses

Primary practice location

600 N Garfield Ave
#110
Monterey Park, CA 91754

Mailing address

600 N Garfield Ave
#110
Monterey Park, CA 91754
Phone (626) 571-6641

Other identifiers 1

IdentifierTypeStateIssuer
00A442810MedicaidCA

Other names 1

  • Patrick Penhong Lee Former name

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
I20111228000665 CA Practitioner - Internal Medicine 3678749470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pen H Lee MD IncGroup PAC ID 2062441389, 2 clinicians

Practice addresses (Care Compare)

600 N Garfield Ave
Suite 110
Monterey Park, CA 91754-1168
Phone (626) 571-6641

Hospital & facility affiliations

  • Green Pine Home Healthcare Services, Inc Home health agency, San Gabriel, CA, CCN 058408
  • Garfield Medical Center Hospital, Monterey Park, CA, CCN 050737

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A44281CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pen H. Lee, M.D., Inc General Practice CurrentSince Jan 1, 1990 Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

600 N Garfield Ave
Ste 110
Monterey Park, CA 91754
Phone (626) 570-6641

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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 2

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1992807267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "#110",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91754",
            "telephone_number": "626-571-6641",
            "fax_number": "626-571-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "#110",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91754",
            "telephone_number": "626-571-6641",
            "fax_number": "626-571-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PEN HONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A44281",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A44281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A442810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "LEE",
            "middle_name": "PENHONG",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.