HEE TAE LEE
NPI 1174415749
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Q: What is Hee Tae Lee's NPI number?

The NPI number for Hee Tae Lee is 1174415749. It was assigned to this individual provider in the NPPES registry on July 17, 2025.

Q: What is Hee Tae Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Hee Tae Lee was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 July 17, 2025PECOS Enrolled

3030 W OLYMPIC BLVD STE 217, LOS ANGELES, CA 90006(213) 703-5526 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2025, Nov 4, 2025 (2 updates tracked since 2025).

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About Hee Tae Lee NPPES

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

HEE TAE LEE (NPI 1174415749) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95037221) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174415749

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameHEE TAE LEE

Location Address3030 W OLYMPIC BLVD STE 217Los Angeles, CA 90006-6507

Mailing Address2466 Montrose Ave Apt 2Montrose, CA 91020-1476 · (213) 703-5526

Phone(213) 703-5526

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 17, 2025

Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration

NPPES CertifiedDecember 1, 2025

✔ NPI 1174415749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95037221

Also ListedRegistered NurseTaxonomy 163W00000X · License 95231436 (CA)

3030 W OLYMPIC BLVD STE 217, Los Angeles, CA 90006

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hee Tae Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002381779

PECOS Enrollment IDI20260409003258

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

MR. MIGUEL ANGEL QUIROZ PMHNP

Nurse Practitioner (Psychiatric/Mental Health)