Look up the most recent NPI and PECOS records

Ji Young Lee

Internal Medicine

Allopathic & Osteopathic Physicians

1919 Santa Monica Blvd Ste 210, Santa Monica, CA 90404-1970

PECOS Enrollment

Based on the most recent information from CMS, provider Ji Young Lee is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1053990754
Provider Type
Individual
Full Name
Lee, Ji Young
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/7/2021
Last Updated
3/30/2025

Contact Information

Practice Location

1919 Santa Monica Blvd Ste 210, Santa Monica, CA 90404-1970

(424) 314-7800

Unlisted Fax

Mailing Location

1919 Santa Monica Blvd Ste 210, Santa Monica, CA 90404-1970

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A183653 California
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Ji Young Lee

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Soliman, Sarah Grace

Solis-Cohen, Adam

Ng, Jason Patrick

Kaminker, Sharon

Hua, Johnson

Wang, Serena Ke Jun

Melamed, Oleg

Stepanyan, Katelyn Dow

Cheung, Min-Yuen C

Asokan, Ishan