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JUNG IN LEE PA-C
NPI 1982328506
Physician Assistant - Medical in Los Angeles, CA

Active since September 27, 2022PECOS Enrolled
3255 WILSHIRE BLVD STE 120, LOS ANGELES, CA 90010(213) 235-2500(213) 355-8714 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2025, Sep 27, 2022 (2 updates tracked since 2022).

About Jung In Lee Pa-c NPPES

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

JUNG IN LEE PA-C (NPI 1982328506) is an individual medical provider in Los Angeles, California, licensed in California (PA63849) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982328506
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJUNG IN LEECredential: PA-C
Location Address3255 WILSHIRE BLVD STE 120Los Angeles, CA 90010-1405
Mailing Address3727 W 6th St Ste 210Los Angeles, CA 90020-5108 · (213) 235-2500
Phone(213) 235-2500
Fax(213) 355-8714
Sole ProprietorYes
Enumeration DateSeptember 27, 2022
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1982328506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA63849
3255 WILSHIRE BLVD STE 120, Los Angeles, CA 90010
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jung In Lee Pa-c 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.

Other Providers at the Same Location NPPES 9

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

KOREAN HEALTH, EDUCATION, INFORMATION AND RESEARCH CENTER
Clinic/Center (Primary Care)
3255 WILSHIRE BLVD STE 120
LOS ANGELES, CA 90010
Los Angeles County (213) 235-2500
MISS JENNY LOPEZ LCSW
Social Worker (Clinical)
3255 WILSHIRE BLVD STE 120
LOS ANGELES, CA 90010
Los Angeles County (213) 235-2500
LIZBETH ACOSTA PA-C, ATC
Physician Assistant
3255 WILSHIRE BLVD STE 120
LOS ANGELES, CA 90010
Los Angeles County (213) 235-2500
KYUNG JOON SUH
Social Worker (Clinical)
3255 WILSHIRE BLVD STE 120
LOS ANGELES, CA 90010
Los Angeles County (213) 235-1219
DR. LALEH MOKHBERI
Dentist
3255 WILSHIRE BLVD STE 120
LOS ANGELES, CA 90010
Los Angeles County (213) 235-2500
MOONSUN JEONG NURSE PRACTITIONER
Nurse Practitioner (Family)
3255 WILSHIRE BLVD STE 120
LOS ANGELES, CA 90010
Los Angeles County (213) 235-2500
YUAN LIU M.D.
Family Medicine
3255 WILSHIRE BLVD STE 120
LOS ANGELES, CA 90010
Los Angeles County (213) 235-2500
DR. SOYEON CHIN M.D.
General Practice
3255 WILSHIRE BLVD STE 120
LOS ANGELES, CA 90010
Los Angeles County (213) 235-2500

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 Jung In Lee's NPI number?

The NPI number for Jung In Lee is 1982328506. It was assigned to this individual provider in the NPPES registry on September 27, 2022.

Where is Jung In Lee located?

Jung In Lee practices at 3255 Wilshire Blvd Ste 120, Los Angeles, CA 90010. The listed phone number is (213) 235-2500.

What is Jung In Lee's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jung In Lee enrolled in Medicare?

Yes. Jung In Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jung In Lee was last updated on April 1, 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.