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HEATHER MEE SOOK WYNNE MD
NPI 1417699588
Family Medicine in Los Angeles, CA

Active since April 10, 2022PECOS Enrolled
1300 N MISSION RD, LOS ANGELES, CA 90033(323) 409-8255 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2025, Nov 10, 2025, Apr 10, 2022 (3 updates tracked since 2022).

About Heather Mee Sook Wynne Md NPPES

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

HEATHER MEE SOOK WYNNE MD (NPI 1417699588) is an individual family medicine provider in Los Angeles, California, licensed in California (A203673) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417699588
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEATHER MEE SOOK WYNNECredential: MD
Location Address1300 N MISSION RDLos Angeles, CA 90033-1021
Mailing Address1300 N Mission RdLos Angeles, CA 90033-1021 · (323) 409-8255
Phone(323) 409-8255
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 10, 2022
Last NPPES UpdateNovember 21, 20253 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1417699588 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 · A203673
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.
1300 N MISSION RD, Los Angeles, CA 90033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Mee Sook Wynne Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779058771
PECOS Enrollment IDI20260407003330
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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.

DR. CYNTHIA IRENE AGUILERA MD
Internal Medicine
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (213) 747-5542
MARIA G ALVAREZ-ACEVEDO RN
Registered Nurse (Ambulatory Care)
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8255
TIFFANY YU M.D.
Family Medicine
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8255
CHARLES H. ROSALES RN
Registered Nurse (Ambulatory Care)
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8255
REBECCA LEE
Internal Medicine
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 409-6484
MARK ISAAC LIEBER MD
Internal Medicine
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8255
ANA ISABEL FU
Registered Nurse (Perinatal)
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8255
MARY GRACE ANTONIETTE MALLARI FNP-C
Nurse Practitioner (Family)
1300 N MISSION RD
LOS ANGELES, CA 90033
Los Angeles County (323) 409-1000

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 Heather Wynne's NPI number?

The NPI number for Heather Wynne is 1417699588. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Where is Heather Wynne located?

Heather Wynne practices at 1300 N Mission Rd, Los Angeles, CA 90033. The listed phone number is (323) 409-8255.

What is Heather Wynne's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heather Wynne enrolled in Medicare?

Yes. Heather Wynne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heather Wynne was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.