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PACIFIC MEDICAL GROUP
NPI 1336581123
Internal Medicine in Los Angeles, CA

Active since July 23, 2013CLIA 05D1016965 · Waiver
266 S HARVARD BLVD STE 100, LOS ANGELES, CA 90004(213) 383-9388(213) 381-8660 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 17, 2020, Apr 6, 2020 (2 updates tracked since 2020).

About Pacific Medical Group NPPES

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

PACIFIC MEDICAL GROUP (NPI 1336581123) is a healthcare organization registered as an internal medicine in Los Angeles, California and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through September 11, 2027, maintains a secondary practice location in Los Angeles, and lists Young Jik Lee, M.d., as its authorized official.

NPPES Registry Identity

NPI1336581123
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameY J LEE MD CORP
Location Address266 S HARVARD BLVD STE 100Los Angeles, CA 90004-4374
Mailing Address266 S Harvard Blvd Ste 100Los Angeles, CA 90004-4374 · (213) 383-9388 · Fax (213) 381-8660
Phone(213) 383-9388
Fax(213) 381-8660
Organization SubpartNo
Authorized OfficialYoung Jik LeeM.d. · (213) 383-9388
Enumeration DateJuly 23, 2013
Last NPPES UpdateApril 17, 20202 updates tracked since enumeration
NPPES CertifiedApril 17, 2020
✔ NPI 1336581123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
266 S HARVARD BLVD STE 100, Los Angeles, CA 90004
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Other Names 1

Doing Business AsPacific Medical Group

Secondary Practice Location 1

Location 1266 S Harvard Blvd Ste 300Los Angeles, CA 90004-4373 · Phone (213) 739-8610 · Fax (213) 739-5771

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1016965

Y J Lee MD Corp · Los Angeles, CA
Active · expires Sep 11, 2027
CLIA Number05D1016965
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorYoung J. Lee
Laboratory Phone(213) 383-9388
Laboratory LocationY J Lee MD Corp266 S Harvard Blvd #100, Los Angeles, CA 90004
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MS. CHANYOUNG KIM
Nurse Practitioner (Primary Care)
266 S HARVARD BLVD STE 100
LOS ANGELES, CA 90004
Los Angeles County (213) 381-8668
MRS. SOO N WOO NP
Nurse Practitioner (Acute Care)
266 S HARVARD BLVD STE 100
LOS ANGELES, CA 90004
Los Angeles County (213) 383-9388

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 Y J Lee MD Corp's NPI number?

The NPI number for Y J Lee MD Corp is 1336581123. It was assigned to this organization in the NPPES registry on July 23, 2013. The provider is doing business as Pacific Medical Group.

Where is Y J Lee MD Corp located?

Y J Lee MD Corp is located at 266 S Harvard Blvd Ste 100, Los Angeles, CA 90004. The listed phone number is (213) 383-9388.

What is Y J Lee MD Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Y J Lee MD Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1016965) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Y J Lee MD Corp was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.