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

Individual provider Emergency Medicine Physician · NPI 1881078707

Dae-Won Lee is an Emergency Medicine in Fontana, California. Graduated from Wayne State University School of Medicine in 2015, 11 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
11
Trained at
Wayne State University School of Medicine
Licensed in
CA, MO
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

9961 Sierra Ave
Fontana, CA 92335-6720
Phone: (909) 724-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A152262 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2015021362 (MO)

Record details

NPI number1881078707
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 10, 2015
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025
Mailing addressPhr Group Provider Enrollment Unit, 393 E Walnut St Fl 3, Pasadena, CA 91188-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fontana