Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Medicine

Organization Internal Medicine Physician · NPI 1821494014

Innovative Medicine is an Internal Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

811 Wilshire Blvd Ste 110
Los Angeles, CA 90017-2606
Phone: (213) 415-1990
Fax: (213) 415-1940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT40619 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A99205 (CA)

Record details

NPI number1821494014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tsz Lee — Medical Director · (231) 415-1990
NPI enumeratedNovember 14, 2014
Last updated in NPPESNovember 14, 2014
Mailing address811 Wilshire Blvd, Suite 110, Los Angeles, CA 90017-2606

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