1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Physician Assistant
  6. NPI Profile

JIHYUN LEE PA-C
NPI 1104101062
Physician Assistant - Medical in Los Angeles, CA

Active since October 11, 2011PECOS EnrolledAccepts Medicare Assignment
1450 SAN PABLO ST STE 6200, LOS ANGELES, CA 90033(323) 865-3690(213) 865-3671 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2020, Sep 3, 2020, Aug 29, 2020 (3 updates tracked since 2020).

About Jihyun Lee Pa-c NPPES

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

JIHYUN LEE PA-C (NPI 1104101062) is an individual medical provider in Los Angeles, California, licensed in California (PA21855) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1104101062
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJIHYUN LEECredential: PA-C
Location Address1450 SAN PABLO ST STE 6200Los Angeles, CA 90033-5331
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 865-3690
Phone(323) 865-3690
Fax(213) 865-3671
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 11, 2011
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2020
✔ NPI 1104101062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA21855
1450 SAN PABLO ST STE 6200, Los Angeles, CA 90033
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jihyun Lee Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648444794
PECOS Enrollment IDI20111129000623
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH KIM PA-C
Physician Assistant
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9062
ELIZABETH CHANG PAC-C
Physician Assistant
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9062
DR. CHRISTINE HSIEH M.D.
Colon & Rectal Surgery
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 865-3690
AZADEH AZARBAYEJANI CARR M.D.
Surgery (Surgical Oncology)
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9062
DR. KYLE G COLOGNE M.D.
Colon & Rectal Surgery
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 865-3690
DR. SEAN CONOR WIGHTMAN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9062
JAMES DIEN TU NGUYEN MD
Surgery
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9062
SCOTT M. ATAY M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1450 SAN PABLO ST STE 6200
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9062

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 Jihyun Lee's NPI number?

The NPI number for Jihyun Lee is 1104101062. It was assigned to this individual provider in the NPPES registry on October 11, 2011.

Where is Jihyun Lee located?

Jihyun Lee practices at 1450 San Pablo St Ste 6200, Los Angeles, CA 90033. The listed phone number is (323) 865-3690.

What is Jihyun Lee's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jihyun Lee enrolled in Medicare?

Yes. Jihyun Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jihyun Lee was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.