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

Dr. Jung Jin Lee, MD

Individual provider General Practice Physician · NPI 1467749473

Dr. Jung Jin Lee, MD is a Preventive Medicine in Morgantown, West Virginia. Graduated from University of Texas Medical Branch at Galveston in 2011, 15 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Georgia and West Virginia.

Years since qualifying
15
Trained at
University of Texas Medical Branch at Galveston
Licensed in
GA, WV
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.

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Practice location Address checks out

390 Birch St
Morgantown, WV 26505
Phone: (304) 293-0741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 72859 (GA)
General Practice Physician Taxonomy 208D00000X · Licence 27001 (WV)

Record details

NPI number1467749473
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2011
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

Medicare enrollment

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

Medicare specialtyPREVENTIVE MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2011 (15 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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