Provider Type Icon

DR. KYONG-JIN LEE MD NPI 1417426248


NPI Information

NPI: 1417426248
Provider Name: DR. KYONG-JIN LEE, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

Organization: LPCH MEDICAL GROUP DIV OF LUCILE

PECOS Registration: Yes

Address:
725 WELCH RD
PALO ALTO, CA
ZIP 94304
Phone: (650) 497-8000
Get Directions

DR. Kyong-jin Lee, MD is a pediatric cardiology pediatrics in Palo Alto, CA with 35 years of experience. The provider is a pediatric cardiologist 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. DR. Kyong-jin Lee, MD NPI is 1417426248. 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:

725 WELCH RD
PALO ALTO, CA
ZIP 94304-601
Phone: (650) 497-8000

The NPI 1417426248 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 11/22/2018 and was last updated on 1/4/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0011XInternal MedicineInterventional Cardiology0101265554VIRGINIANo
22080A0000XPediatricsAdolescent Medicine0101265554VIRGINIANo
32080P0202XPediatricsPediatric CardiologyC170504CALIFORNIAYes
42080P0202XPediatricsPediatric Cardiology0101265554VIRGINIANo
5207RA0002XInternal MedicineAdult Congenital Heart Disease0101265554VIRGINIANo
6207RA0001XInternal MedicineAdvanced Heart Failure and Transplant Cardiology0101265554VIRGINIANo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.