RACHEL MINJOO LEE FNP NPI 1124865530

NPI Information

  • NPI: 1124865530
  • Provider Name: RACHEL MINJOO LEE, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 625 S FAIR OAKS AVE STE 215
    PASADENA, CA
    ZIP 91105
  • Phone: (626) 793-4139

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NPI Details

Rachel Minjoo Lee, FNP is a family nurse practitioner in Pasadena, CA with 1 years of experience. Rachel Minjoo Lee, FNP NPI is 1124865530. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

625 S FAIR OAKS AVE STE 215
PASADENA, CA
ZIP 91105-613
Phone: (626) 793-4139
Fax: (626) 793-4324

The NPI 1124865530 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2024 and was last updated on 7/29/2024.

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
1363LF0000XNurse PractitionerFamily95030995CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NP95030995OTHERCALIFORNIABRN
22024063572OTHERCALIFORNIAANCC

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: 3/30/2025

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