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

Dr. Derek Takyan Lee, MD, DPT

Individual provider Physical Therapist · NPI 1225325772

Dr. Derek Takyan Lee, MD, DPT is a Diagnostic Radiology in Los Angeles, California. Graduated from University of Florida College 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 Florida.

Years since qualifying
11
Trained at
University of Florida College of Medicine
Licensed in
CA, FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1500 San Pablo St Fl 2
Los Angeles, CA 90033-5313
Phone: (323) 442-8541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A145718 (CA)
Physical Therapist Taxonomy 225100000X · Licence 26445 (FL)

Record details

NPI number1225325772
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , DPT
Sole proprietorNo
NPI enumeratedJuly 6, 2011
Last updated in NPPESDecember 3, 2021
Certification dateSeptember 10, 2020

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE 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
Practice locations11 on file with Medicare

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