KYUNG AH LEE
NPI 1972104453
Nurse Practitioner - Primary Care in Upland, CA

Q: What is Kyung Lee's NPI number?

The NPI number for Kyung Lee is 1972104453. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Q: What is Kyung Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Kyung Lee was last updated on May 5, 2022. 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.

Active since November 03, 2020

1183 E FOOTHILL BLVD STE 135, UPLAND, CA 91786(909) 931-1368(909) 931-1372 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2022, Jul 13, 2021, Nov 3, 2020 (3 updates tracked since 2020).

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About Kyung Ah Lee NPPES

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

KYUNG AH LEE (NPI 1972104453) is an individual primary care provider in Upland, California, licensed in California (95015267) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1972104453

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameKYUNG AH LEE

Location Address1183 E FOOTHILL BLVD STE 135Upland, CA 91786-4082

Mailing Address1201 W Valencia Dr Spc 1Fullerton, CA 92833-3320 · (562) 290-3121

Phone(909) 931-1368

Fax(909) 931-1372

Sole ProprietorNo

Enumeration DateNovember 3, 2020

Last NPPES UpdateMay 5, 20223 updates tracked since enumeration

NPPES CertifiedMay 5, 2022

✔ NPI 1972104453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · 95015267

1183 E FOOTHILL BLVD STE 135, Upland, CA 91786

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Other Providers at the Same Location NPPES 4

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

SAINT ELIAS MEDICAL GROUP

Family Medicine

1183 E FOOTHILL BLVD STE 135
UPLAND, CA 91786

San Bernardino County (909) 498-6293

MAHER DANHASH MD

Family Medicine

1183 E FOOTHILL BLVD STE 135
UPLAND, CA 91786

San Bernardino County (909) 844-2090

PAMELA ANN MACK

Nurse Practitioner (Family)

1183 E FOOTHILL BLVD STE 135
UPLAND, CA 91786

San Bernardino County (909) 931-1368

MARYAM DEHBOZORGI FNP

Nurse Practitioner (Family)

1183 E FOOTHILL BLVD STE 135
UPLAND, CA 91786

San Bernardino County (909) 931-1368

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 Kyung Lee's NPI number?

The NPI number for Kyung Lee is 1972104453. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Where is Kyung Lee located?

Kyung Lee practices at 1183 E Foothill Blvd Ste 135, Upland, CA 91786. The listed phone number is (909) 931-1368.

What is Kyung Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Kyung Lee was last updated on May 5, 2022. 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.