HYE RIN LEE PA-C
NPI 1124643176
Physician Assistant - Surgical in Downey, CA

Q: What is Hye Rin Lee's NPI number?

The NPI number for Hye Rin Lee is 1124643176. It was assigned to this individual provider in the NPPES registry on June 15, 2020. The provider is also known as Grace Lee Pa-C.

Q: What is Hye Rin Lee's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Hye Rin Lee was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 15, 2020PECOS EnrolledAccepts Medicare Assignment

11480 BROOKSHIRE AVE STE 111, DOWNEY, CA 90241(562) 904-1651(562) 904-1656 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2024, Sep 22, 2021, Jan 24, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Hye Rin Lee Pa-c NPPES

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

HYE RIN LEE PA-C (NPI 1124643176) is an individual surgical provider in Downey, California, licensed in California (58409) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2020).

NPPES Registry Identity

NPI1124643176

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameHYE RIN LEECredential: PA-C

Location Address11480 BROOKSHIRE AVE STE 111Downey, CA 90241-5021

Mailing Address11480 Brookshire Ave Ste 111Downey, CA 90241-5021

Phone(562) 904-1651

Fax(562) 904-1656

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 2020

Enumeration DateJune 15, 2020

Last NPPES UpdateFebruary 5, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2024

✔ NPI 1124643176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · 58409

Also ListedPhysician AssistantTaxonomy 363A00000X

11480 BROOKSHIRE AVE STE 111, Downey, CA 90241

Open in Google Maps ↗

Other Names 1

Other Name (5)Grace Lee Pa-c

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

Hye Rin 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 ID2961812508

PECOS Enrollment IDI20201110001144

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

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

DR. KEVIN DHOLARIA M.D.

Internal Medicine (Gastroenterology)

11480 BROOKSHIRE AVE STE 111
DOWNEY, CA 90241

Los Angeles County (562) 904-4445

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 Hye Rin Lee's NPI number?

The NPI number for Hye Rin Lee is 1124643176. It was assigned to this individual provider in the NPPES registry on June 15, 2020. The provider is also known as Grace Lee Pa-C.

Where is Hye Rin Lee located?

Hye Rin Lee practices at 11480 Brookshire Ave Ste 111, Downey, CA 90241. The listed phone number is (562) 904-1651.

What is Hye Rin Lee's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Hye Rin Lee enrolled in Medicare?

Yes. Hye Rin 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 Hye Rin Lee was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.