Individual ProviderMin Young LeeInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021(323) 783-4516PECOS EnrollmentBased on the most recent information from CMS, provider Min Young Lee is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1083135214Provider TypeIndividualFull NameLee, Min YoungTitleDr.CredentialDOGenderMaleSole ProprietorNoEnumeration Date6/28/2017Last Updated12/8/2021Contact InformationPractice LocationPractice Address4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021Phone(323) 783-4516Fax(866) 455-3867Mailing LocationMailing Address4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021Phone(323) 783-4516Fax(866) 455-3867Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense17255CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer