BYUNG KOOK LEE
NPI 1194423491
General Practice in San Diego, CA

Active since February 16, 2023PECOS Enrolled
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6400 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2024, Feb 16, 2023 (2 updates tracked since 2023).

About Byung Kook Lee NPPES

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

BYUNG KOOK LEE (NPI 1194423491) is an individual general practice provider in San Diego, California, licensed in Virginia (0101283411) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194423491
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameBYUNG KOOK LEE
Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098
Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098
Sole ProprietorNo
Enumeration DateFebruary 16, 2023
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
NPI 1194423491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in VA · 0101283411
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

34800 BOB WILSON DR, San Diego, CA 92134

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

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.

Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
General Practice
34800 BOB WILSON DR
SAN DIEGO, CA 92134

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 Byung Lee's NPI number?

The NPI number for Byung Lee is 1194423491. It was assigned to this individual provider in the NPPES registry on February 16, 2023.

Where is Byung Lee located?

Byung Lee practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-6400.

What is Byung Lee's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Byung Lee enrolled in Medicare?

Yes. Byung Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Byung Lee was last updated on December 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.