DR. JIN SUN LEE M.D.
NPI 1225293343
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since July 29, 2008PECOS EnrolledAccepts Medicare Assignment
10833 LECONTE AVENUE, UCLA, LOS ANGELES, CA 90095(818) 364-4350 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jin Sun Lee M.d. NPPES

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

DR. JIN SUN LEE M.D. (NPI 1225293343) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2007).

NPPES Registry Identity

NPI1225293343
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JIN SUN LEECredential: M.D.
Location Address10833 LECONTE AVENUE, UCLALos Angeles, CA 90095
Mailing Address10833 Leconte Avenue, UclaLos Angeles, CA 90095 · (818) 364-4350
Sole ProprietorYes
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2007
Enumeration DateJuly 29, 2008
Last NPPES UpdateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
✔ NPI 1225293343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10833 LECONTE AVENUE, Los Angeles, CA 90095

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jin Sun Lee M.d. 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 ID7113101320
PECOS Enrollment IDI20110413000476
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 Jin Sun Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 6

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

Pathology (Anatomic Pathology & Clinical Pathology)
10833 LECONTE AVENUE, AS-370 CHS
LOS ANGELES, CA 90095
Pathology (Anatomic Pathology)
10833 LECONTE AVENUE
LOS ANGELES, CA 90095
Dermatology
10833 LECONTE AVENUE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
10833 LECONTE AVENUE
LOS ANGELES, CA 90095
Nurse Practitioner (Acute Care)
10833 LECONTE AVENUE
LOS ANGELES, CA 90095
Pathology (Anatomic Pathology & Clinical Pathology)
10833 LECONTE AVENUE, AS-370 CHS
LOS ANGELES, CA 90095

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 Jin Sun Lee's NPI number?

The NPI number for Jin Sun Lee is 1225293343. It was assigned to this individual provider in the NPPES registry on July 29, 2008.

Where is Jin Sun Lee located?

Jin Sun Lee practices at 10833 Leconte Avenue Ucla, Los Angeles, CA 90095. The listed phone number is (818) 364-4350.

What is Jin Sun Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jin Sun Lee enrolled in Medicare?

Yes. Jin Sun 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.

Which organization bills Medicare for Jin Sun Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jin Sun Lee reassigns Medicare benefits to Southern California Permanente Medical Group (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 Jin Sun 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 Jin Sun Lee was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.