YOUNG SOO LEE MD
NPI 1407318587
Family Medicine in Marina Del Rey, CA

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
4560 ADMIRALTY WAY STE 100, MARINA DEL REY, CA 90292(310) 827-3700 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 24, 2023, Apr 5, 2019 (2 updates tracked since 2019).

About Young Soo Lee Md NPPES

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

YOUNG SOO LEE MD (NPI 1407318587) is an individual family medicine provider in Marina Del Rey, California, licensed in California (A181586) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1407318587
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameYOUNG SOO LEECredential: MD
Location Address4560 ADMIRALTY WAY STE 100Marina Del Rey, CA 90292-5424
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 5, 2019
Last NPPES UpdateAugust 24, 20232 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
NPI 1407318587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A181586
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4560 ADMIRALTY WAY STE 100, Marina Del Rey, CA 90292

Secondary Practice Locations 4

Location 12075 E Flamingo RdLas Vegas, NV 89119-5188 · Phone (702) 388-4000
Location 25400 S Rainbow BlvdLas Vegas, NV 89118-1859 · Phone (702) 853-3000
Location 31050 W Galleria DrHenderson, NV 89011-4800 · Phone (702) 963-7000
Location 4657 N Town Center DrLas Vegas, NV 89144-6367 · Phone (702) 233-7000

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

Young Soo Lee Md 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 ID4880920966
PECOS Enrollment IDI20230221001344
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
226 services221 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
161 services153 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services24 patients
Detection test by immunoassay technique for influenza virus 87400
An immunoassay test for influenza virus is a procedure that identifies the presence of the flu virus in your body. It uses your body's immune response to detect specific proteins (antigens) associated with the virus. This helps in early and accurate diagnosis of influenza.
19 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 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 20

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

Internal Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Internal Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Durable Medical Equipment & Medical Supplies
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Family Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Family Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Family Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Family Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292
Family Medicine
4560 ADMIRALTY WAY STE 100
MARINA DEL REY, CA 90292

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407318587, enumerated as an "individual" on April 05, 2019.

The provider is located at 4560 ADMIRALTY WAY STE 100 MARINA DEL REY, CA 90292 and the phone number is (310) 827-3700.

Family Medicine with taxonomy code 207Q00000X.