MEDICARE: HYUN KYUNG LEE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A190616	CA

General Provider Information

NPI Number	:	1538746219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HYUN KYUNG LEE MD

Provider Business Mailing Address
First Line	:	3835 N FREEWAY BLVD STE 100
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-1954
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 W EL CAMINO REAL STE 280
Second Line	:
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-8127
Country	:	US
Telephone Number	:	855-501-1004
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2021
Last Update Date	:	05/22/2026

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