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: July 19, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225293343, enumerated as an "individual" on July 29, 2008.

The provider is located at 10833 LECONTE AVENUE UCLA LOS ANGELES, CA 90095 and the phone number is (818) 364-4350.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.