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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Hee Tae Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Together Mental Health, A Nursing Corp.
Same address
Psychiatric/Mental Health
3030 W OLYMPIC BLVD STE 217
Los Angeles, CA 90006
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1356822142 (213) 550-2159

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

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)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 550-2159
HOVHANNES AVAGYAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 493-5226
EUNICE LEE PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 550-2159
ANTHONY RAYMOND FERNANDEZ JR. PMHNP, MSN, RN
Nurse Practitioner (Psychiatric/Mental Health)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 550-2159
KEUMHEE BYEON NP
Nurse Practitioner (Psychiatric/Mental Health)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 550-2159
SARAH CHO KO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 550-2159
BENJAMIN ROSS TROUSDALE
Nurse Practitioner (Psychiatric/Mental Health)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 550-2159
CRYSTAL LAUREN MIN
Nurse Practitioner (Psychiatric/Mental Health)
3030 W OLYMPIC BLVD STE 217
LOS ANGELES, CA 90006
Los Angeles County (213) 550-2159

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 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.

Where is Hee Tae Lee located?

Hee Tae Lee practices at 3030 W Olympic Blvd Ste 217, Los Angeles, CA 90006. The listed phone number is (213) 703-5526.

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.

Is Hee Tae Lee enrolled in Medicare?

Yes. Hee Tae Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hee Tae Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hee Tae Lee reassigns Medicare benefits to Together Mental Health, A Nursing Corp. (Los Angeles, CA). The 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 Hee Tae Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 11 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.