Individual ProviderHye Ok LeeFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address660 Baker St Ste A101, Costa Mesa, CA 92626-4407(714) 668-2500(657) 241-3600PECOS EnrollmentThis provider is enrolled in PECOS as HYE LEE.Based on the most recent information from CMS, provider Hye Ok 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 ID1306852538Provider TypeIndividualFull NameLee, Hye OkTitleDr.CredentialD.O.GenderFemaleSole ProprietorNoEnumeration Date7/31/2006Last Updated8/3/2023Contact InformationPractice LocationPractice Address660 Baker St Ste A101, Costa Mesa, CA 92626-4407Phone(714) 668-2500Fax(714) 668-2515Mailing LocationMailing AddressPO Box 2218, Suisun City, CA 94585-5218Phone(657) 241-3600Fax(657) 241-7708Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense20A8550CaliforniaProvider IdentifiersIDDescriptionIssuerID00AX85500DescriptionMedicaidIssuerUnlistedCalifornia