MEDICARE: HYUNAH LEE LMFT

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	171M00000X	Case Manager/Care Coordinator
2	106H00000X	Marriage & Family Therapist	AMFT141447	CA
3	106H00000X	Marriage & Family Therapist	LMFT160641	CA

General Provider Information

NPI Number	:	1972386456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HYUNAH LEE LMFT

Provider Business Mailing Address
First Line	:	1310 WILSHIRE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-1705
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 WILSHIRE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-1705
Country	:	US
Telephone Number	:	213-483-3000
Fax Number	:

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

Provider Enumeration Date	:	08/17/2023
Last Update Date	:	01/06/2026

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Directions to “ HYUNAH LEE LMFT” Practice Location

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