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

Dr. Shannon Jiyoung Lee, MD

Individual provider Family Medicine Physician · NPI 1477294684

Dr. Shannon Jiyoung Lee, MD is a Family Practice in Los Angeles, California. Graduated from Albany Medical College of Union University in 2022, 4 years ago. Practices with Uc Regents, a 39-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Trained at
Albany Medical College of Union University
Licensed in
CA
In the registry since
2022
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

10250 Santa Monica Blvd Ste 2440
Los Angeles, CA 90067-6593
Phone: (310) 286-0122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1920 Colorado Ave, Santa Monica, CA 90404-3414 — (310) 319-4700

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A201696 (CA)

Record details

NPI number1477294684
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 5, 2022
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2022 (4 years in practice)
Group practice Uc Regents — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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