JOHN JYYOON LEE
NPI 1841033305
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA
About John Jyyoon Lee NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN JYYOON LEE (NPI 1841033305) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95030505) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Jyyoon Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90028
- Reassigned Medicare billing, California enrollment
- 110 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 90073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 John Lee's NPI number?
The NPI number for John Lee is 1841033305. It was assigned to this individual provider in the NPPES registry on June 13, 2024.
Where is John Lee located?
John Lee practices at 11301 Wilshire Blvd. Building 402 (mail Code 10h5), Los Angeles, CA 90073. The listed phone number is (310) 478-3711.
What is John Lee's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is John Lee enrolled in Medicare?
Yes. John Lee is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Lee reassigns Medicare benefits to Los Angeles Lgbt Center (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 John 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 John Lee was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# John Jyyoon Lee · NPI 1841033305
Psychiatric/Mental Health physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 13, 2024.
## Identity
- **NPI:** 1841033305 (Entity type: Individual)
- **Enumerated:** June 13, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95030505 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11301 WILSHIRE BLVD. BUILDING 402 (MAIL CODE 10H5), Los Angeles, CA 90073
- **Phone:** (310) 478-3711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Los Angeles Lgbt Center (NPI 1548298532, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1841033305) · Data from the CMS NPPES public registry.