JAE W LEE M.D.
NPI 1639265143
General Practice in Los Angeles, CA

Q: What is Jae Lee's NPI number?

The NPI number for Jae Lee is 1639265143. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Jae Lee's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jae Lee was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 04, 2006PECOS Enrolled

3780 WILSHIRE BLVD, 6TH FL, LOS ANGELES, CA 90010(213) 739-1416 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jae W Lee M.d. NPPES

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

JAE W LEE M.D. (NPI 1639265143) is an individual general practice provider in Los Angeles, California, licensed in California (A032086) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639265143

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameJAE W LEECredential: M.D.

Location Address3780 WILSHIRE BLVD, 6TH FLLos Angeles, CA 90010-2805

Mailing Address3780 Wilshire Blvd, 6th FlLos Angeles, CA 90010-2805 · (213) 739-1416

Phone(213) 739-1416

Sole ProprietorYes

Enumeration DateOctober 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639265143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A032086

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3780 WILSHIRE BLVD, Los Angeles, CA 90010

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Other Identifiers 1

Medicare UPINC03906CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jae W Lee M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jae Lee's NPI number?

The NPI number for Jae Lee is 1639265143. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Jae Lee located?

Jae Lee practices at 3780 Wilshire Blvd 6th Fl, Los Angeles, CA 90010. The listed phone number is (213) 739-1416.

What is Jae Lee's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jae Lee enrolled in Medicare?

Yes. Jae Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jae Lee was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.