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

Dr. Sun Ik Lee, MD

Individual provider General Acute Care Hospital · NPI 1376804757

Dr. Sun Ik Lee, MD is an Orthopedic Surgery in Modesto, California. Graduated from Loma Linda University School of Medicine in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California, Louisiana and Nebraska.

Years since qualifying
19
Trained at
Loma Linda University School of Medicine
Licensed in
CA, LA, NE
In the registry since
2012
Specialties on file
3
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

4016 Dale Rd
Modesto, CA 95356-9268
Phone: (209) 571-0288
Fax: (209) 571-0327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence A140655 (CA)
General Acute Care Hospital Taxonomy 282N00000X · Licence MD. 203337 (LA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 27123 (NE)

Record details

NPI number1376804757
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 1, 2012
Last updated in NPPESNovember 8, 2023
Certification dateNovember 8, 2023
Mailing addressPo Box 36833, Belfast, ME 04915-1210

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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