JI YON LEE MD INC NPI 1043617939

NPI Information

  • NPI: 1043617939
  • Provider Name: JI YON LEE MD, INC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: GRACE PEDIATRICS
  • Address: 4902 IRVINE CENTER DR STE 102
    IRVINE, CA
    ZIP 92604
  • Phone: (949) 757-3690

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NPI Details

JI YON LEE MD, INC is a pediatrics in Irvine, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. JI YON LEE MD, INC NPI is 1043617939. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grace Pediatrics.

The provider's business location address is:

4902 IRVINE CENTER DR STE 102
IRVINE, CA
ZIP 92604-334
Phone: (949) 757-3690
Fax: (949) 596-9146

The provider's authorized official is Ji Yon Han .
The authorized official title is Ceo and has the following contact phone number (949) 757-3690.

The enumeration date for this NPI number is 11/21/2014 and was last updated on 4/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsA108338CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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