GWENDOLYN LEE MD
NPI 1710637319
Internal Medicine in Los Angeles, CA

Active since March 25, 2022PECOS EnrolledAccepts Medicare Assignment
200 UCLA MEDICAL PLZ STE 365C, LOS ANGELES, CA 90095(310) 825-7921 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gwendolyn Lee Md NPPES

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

GWENDOLYN LEE MD (NPI 1710637319) is an individual internal medicine provider in Los Angeles, California, licensed in California (A188714) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2022).

NPPES Registry Identity

NPI1710637319
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameGWENDOLYN LEECredential: MD
Location Address200 UCLA MEDICAL PLZ STE 365CLos Angeles, CA 90095-3010
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2022
Enumeration DateMarch 25, 2022
Last NPPES UpdateJune 30, 2025
NPPES CertifiedJune 30, 2025
✔ NPI 1710637319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A188714
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.
200 UCLA MEDICAL PLZ STE 365C, Los Angeles, CA 90095

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gwendolyn 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 ID7113444399
PECOS Enrollment IDI20250512000398
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.

Medicare Billing Reassignment

Medicare enrollment records show Gwendolyn Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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 15

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

Internal Medicine (Infectious Disease)
200 UCLA MEDICAL PLZ STE 365C
LOS ANGELES, CA 90095
Internal Medicine (Infectious Disease)
200 UCLA MEDICAL PLZ STE 365C
LOS ANGELES, CA 90095
Internal Medicine (Infectious Disease)
200 UCLA MEDICAL PLZ STE 365C
LOS ANGELES, CA 90095
Internal Medicine (Infectious Disease)
200 UCLA MEDICAL PLZ STE 365C
LOS ANGELES, CA 90095
Internal Medicine (Infectious Disease)
200 UCLA MEDICAL PLZ STE 365C
LOS ANGELES, CA 90095
Internal Medicine (Infectious Disease)
200 UCLA MEDICAL PLZ STE 365C
LOS ANGELES, CA 90095
Internal Medicine (Infectious Disease)
200 UCLA MEDICAL PLZ STE 365C
LOS ANGELES, CA 90095
Internal Medicine (Infectious Disease)
200 UCLA MEDICAL PLZ STE 365C
LOS ANGELES, CA 90095

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 Gwendolyn Lee's NPI number?

The NPI number for Gwendolyn Lee is 1710637319. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Gwendolyn Lee located?

Gwendolyn Lee practices at 200 Ucla Medical Plz Ste 365C, Los Angeles, CA 90095. The listed phone number is (310) 825-7921.

What is Gwendolyn Lee's specialty?

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

Is Gwendolyn Lee enrolled in Medicare?

Yes. Gwendolyn Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gwendolyn Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gwendolyn Lee reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gwendolyn Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gwendolyn Lee was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.