Ji Eun Lee, MD - Medicare Family Medicine in Carson, CA

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Ji Eun Lee, MD is a medicare enrolled "Family Medicine" physician in Carson, California. Her current practice location is 21601 S. Avalon Blvd., Carson, California. You can reach out to her office (for appointments etc.) via phone at (657) 241-4080.

Ji Eun Lee is licensed to practice in California (license number A174189) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609305259.

Contact Information

Ji Eun Lee, MD
21601 S. Avalon Blvd.,
Carson, CA 90745
(657) 241-4080
(657) 276-4740

Map and Direction




Physician's Profile

Full NameJi Eun Lee
GenderFemale
SpecialityFamily Medicine
Location21601 S. Avalon Blvd., Carson, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609305259
  • Provider Enumeration Date: 06/07/2017
  • Last Update Date: 09/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9931479565
  • Enrollment ID: I20170714000459

Medical Identifiers

Medical identifiers for Ji Eun Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609305259NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R-10957 (Iowa)Secondary
207Q00000XFamily Medicine A174189 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ji Eun Lee is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ji Eun Lee, MD
21601 S. Avalon Blvd.,
Carson, CA 90745

Ph: (657) 241-4080		Ji Eun Lee, MD
21601 S. Avalon Blvd.,
Carson, CA 90745

Ph: (657) 241-4080

Reviews and Comments


Family Medicine Doctors in Carson, CA

Dr. Harrison Lee, D.O.
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Phone: 310-793-3520    
Dr. Christopher D Bustamante, M.D.
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Phone: 310-233-3202    Fax: 310-233-3208
Gerardo Reyes Guba, MD
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Daniel E Harvey, MD
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Practice Location: 824 E Carson St, Suite 206, Carson, CA 90745
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Carmen Nereida Gossette, M.D.
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Phone: 310-233-3203    Fax: 310-549-7010
Babra Chinwe Terry,
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Practice Location: 412 Gina Dr, Carson, CA 90745
Phone: 310-533-7582    
Jed Padre, MD
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Practice Location: 282 E Sepulveda Blvd, Carson, CA 90745
Phone: 310-518-6861    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.