Physician Compare National (NPI:1972607364)

HEALTHCARE PROVIDER: YONG TAI LEE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1972607364
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4284535089
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101025000539
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEE
	Individual professional last name
Provider First Name	YONG
	Individual professional first name
Provider Middle Name	TAI
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GASTROENTEROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GASTROENTEROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	903 CRENSHAW BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 302
	Group Practice or individual's line 2 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900191967
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y