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REFORM24 MEDICAL GROUP INC
NPI 1053718288
Family Medicine in Garden Grove, CA

Active since December 03, 2014CLIA 05D2147374 · Waiver
9535 GARDEN GROVE BLVD, 102, GARDEN GROVE, CA 92844(714) 534-1112(714) 534-1116 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Reform24 Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REFORM24 MEDICAL GROUP INC (NPI 1053718288) is a healthcare organization registered as a family medicine in Garden Grove, California and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Yong Ho Lee, Director, as its authorized official.

NPPES Registry Identity

NPI1053718288
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREFORM24 MEDICAL GROUP INC
Location Address9535 GARDEN GROVE BLVD, 102Garden Grove, CA 92844-1550
Mailing Address9535 Garden Grove Blvd, 102Garden Grove, CA 92844-1550 · (714) 534-1112 · Fax (714) 534-1116
Phone(714) 534-1112
Fax(714) 534-1116
Organization SubpartNo
Authorized OfficialYong Ho LeeDirector · (714) 534-1112
Enumeration DateDecember 3, 2014
✔ NPI 1053718288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9535 GARDEN GROVE BLVD, Garden Grove, CA 92844
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reform24 Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Reform24 Medical Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Yong Lee, D.O
Family Practice
NPI 1407007594
9535 GARDEN GROVE BLVD 104
Garden Grove, CA 92844
(562) 396-5126
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2147374

Reform24 Medical Group, Inc. · Garden Grove, CA
Active · expires Apr 17, 2028
CLIA Number05D2147374
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorYong Ho Lee, Do
Laboratory Phone(714) 534-1112
Laboratory LocationReform24 Medical Group, Inc.9535 Garden Grove Blvd Ste 103, Garden Grove, CA 92844
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reform24 Medical Group Inc's NPI number?

The NPI number for Reform24 Medical Group Inc is 1053718288. It was assigned to this organization in the NPPES registry on December 3, 2014.

Where is Reform24 Medical Group Inc located?

Reform24 Medical Group Inc is located at 9535 Garden Grove Blvd 102, Garden Grove, CA 92844. The listed phone number is (714) 534-1112.

What is Reform24 Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Reform24 Medical Group Inc enrolled in Medicare?

Yes. Reform24 Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Reform24 Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Reform24 Medical Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Reform24 Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2147374) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Reform24 Medical Group Inc was last updated on December 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.