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JEAN H LEE KIM MD
NPI 1770631608
Internal Medicine in Woodland Hills, CA

Active since January 08, 2007PECOS Enrolled
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367(818) 719-2000 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 16, 2021, Feb 1, 2019 (2 updates tracked since 2019).

About Jean H Lee Kim Md NPPES

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

JEAN H LEE KIM MD (NPI 1770631608) is an individual internal medicine provider in Woodland Hills, California, licensed in California (G79489) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770631608
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJEAN H LEE KIMCredential: MD
Location Address5601 DE SOTO AVEWoodland Hills, CA 91367-6701
Mailing Address393 E Walnut St, 3rd Floor Phr SystemsPasadena, CA 91188-0001 · (000) 000-0000 · Fax (000) 000-0000
Phone(818) 719-2000
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateDecember 16, 20212 updates tracked since enumeration
NPPES CertifiedDecember 16, 2021
✔ NPI 1770631608 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 · G79489
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.
5601 DE SOTO AVE, Woodland Hills, CA 91367
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Other Names 1

Professional Name (2)Jean H Lee Md

Other Identifiers 1

Medicaid00G794890CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jean H Lee Kim Md 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.

Medicare Billing Reassignment

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

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
5601 DE SOTO AVE
Woodland Hills, CA 91367
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333478 (818) 719-2000

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 91367 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 20

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

TIMOTHY STARR MPT
Physical Therapist (Orthopedic)
5601 DE SOTO AVE, PHYSICAL THERAPY DEPARTMENT
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2930
MS. BONNIE JILL WEISSMAN P.T.A.
Technician, Other
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-3958
MANO SHANAA M.D.
Anesthesiology
5601 DE SOTO AVE, DEPT OF ANESTHESIA
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2261
DONNA M KARY CRNA
Nurse Anesthetist, Certified Registered
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2000
PAULA MONAGHAN CNM
Advanced Practice Midwife
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2000
DEAN T. NORA MD
Surgery (Surgical Oncology)
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2000
MARGARET M. STONE MD
Pediatrics (Pediatric Infectious Diseases)
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2000
KARIN L NIELSEN PA
Physician Assistant
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367
Los Angeles County (818) 719-2000

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 Jean Lee Kim's NPI number?

The NPI number for Jean Lee Kim is 1770631608. It was assigned to this individual provider in the NPPES registry on January 8, 2007. The provider is also known as Jean H Lee MD.

Where is Jean Lee Kim located?

Jean Lee Kim practices at 5601 De Soto Ave, Woodland Hills, CA 91367. The listed phone number is (818) 719-2000.

What is Jean Lee Kim's specialty?

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

Is Jean Lee Kim enrolled in Medicare?

Yes. Jean Lee Kim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jean Lee Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean Lee Kim reassigns Medicare benefits to Southern California Permanente Medical Group (Woodland Hills, 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 Jean Lee Kim'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 Jean Lee Kim was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.