Dr. Kyong-jin Lee
MD | Pediatric Cardiology | Female
Dr. Kyong-jin Lee, MD is a Palo Alto, California based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Dr. Kyong-jin Lee is
725 Welch Rd, Palo Alto, California - 94304-1601. She can be contacted on phone at
650-497-8000.
Dr. Kyong-jin Lee is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kyong-jin Lee is
1417426248 which was assigned by NPPES on 22 Nov, 2018 and it was last updated on 28 Mar, 2023.
Dr. Kyong-jin Lee license number is
C170504 for Pediatrics, Pediatric Cardiology (2080P0202X) in California.
Dr. Kyong-jin Lee provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. Kyong-jin Lee basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Cardiology |
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| Provider Name : | Dr. Kyong-jin Lee |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Kyong-jin Lee address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 725 Welch Rd
Palo Alto, CA, 94304-1601
United States |
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| Phone Number : | 650-497-8000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1417426248 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Nov, 2018 |
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| Last Updated On : | 28 Mar, 2023 |
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Medicare Participation:
Dr. Kyong-jin Lee participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3971844242 |
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| Medicare Enrollment ID : | I20201210001730 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1989 |
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| Accepts Medicare? | Yes. Dr. Kyong-jin Lee accepts medicare insurance. |
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Group Practice Association:
Dr. Kyong-jin Lee is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Kyong-jin Lee is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Lpch Medical Group Div Of Lucile | 0840298543 | 226 | 725 Welch Rd
Palo Alto, CA - 943041601
Ph: 6504987200 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kyong-jin Lee are as mentioned. Primary taxonomy code for Dr. Kyong-jin Lee, MD is
2080P0202X (Pediatrics, Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207RA0001X | Internal Medicine, Advanced Heart Failure and Transplant Cardiology | No | 0101265554 | VA |
| 207RA0002X | Internal Medicine, Adult Congenital Heart Disease | No | 0101265554 | VA |
| 207RI0011X | Internal Medicine, Interventional Cardiology | No | 0101265554 | VA |
| 208000000X | Pediatrics | No | C170504 | CA |
| 2080A0000X | Pediatrics, Adolescent Medicine | No | 0101265554 | VA |
| 2080P0202X | Pediatrics, Pediatric Cardiology | No | 0101265554 | VA |
| 2080P0202X | Pediatrics, Pediatric Cardiology | Yes | C170504 | CA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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1250 E MARSHALL ST,
RICHMOND, VA, 23298-5051
United States | RICHMOND, VA | 804-828-2467 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 725 Welch Rd
Palo Alto, CA, 94304-1601
United States |
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| Phone Number : | 650-497-8000 |
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Business Location:
Patients can refer following map for directions to
Dr. Kyong-jin Lee practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.