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

Elizabeth Soobin Lee

Individual provider Physician Assistant · NPI 1649904442

Elizabeth Soobin Lee is a Physician Assistant in Los Angeles, California. Qualified in 2024, 2 years ago. Practices with Northeast Community Clinic, a 21-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1414 S Grand Ave Ste 380
Los Angeles, CA 90015-3072
Phone: (213) 745-6047
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA64578 (CA)

Record details

NPI number1649904442
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2022
Last updated in NPPESSeptember 2, 2024
Certification dateSeptember 2, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northeast Community Clinic — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Los Angeles