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SUYEON LEE
NPI 1821457607
Clinical Nurse Specialist - Pediatrics in Garden Grove, CA

Active since February 22, 2016
12112 ADRIAN ST, #6-112, GARDEN GROVE, CA 92840(213) 379-3095 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suyeon Lee NPPES

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

SUYEON LEE (NPI 1821457607) is an individual pediatrics provider in Garden Grove, California, licensed in California (95003748) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1821457607
Entity TypeIndividualFemale
Primary Taxonomy364SP0200X
Provider Legal NameSUYEON LEE
Location Address12112 ADRIAN ST, #6-112Garden Grove, CA 92840-4352
Mailing Address12112 Adrian St, #6-112Garden Grove, CA 92840-4352 · (213) 379-3095
Phone(213) 379-3095
Sole ProprietorYes
Enumeration DateFebruary 22, 2016
✔ NPI 1821457607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0200X
License✔ Licensed in CA · 95003748
12112 ADRIAN ST, Garden Grove, CA 92840
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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 Suyeon Lee's NPI number?

The NPI number for Suyeon Lee is 1821457607. It was assigned to this individual provider in the NPPES registry on February 22, 2016.

Where is Suyeon Lee located?

Suyeon Lee practices at 12112 Adrian St #6-112, Garden Grove, CA 92840. The listed phone number is (213) 379-3095.

What is Suyeon Lee's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Pediatrics, with taxonomy code 364SP0200X.

When was this NPI record last updated?

The NPPES record for Suyeon Lee was last updated on February 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.