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

Ellen Eun-Ok Lee, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174822639

Ellen Eun-Ok Lee, MD is a Psychiatry in LA Jolla, California. Qualified in 2011, 15 years ago. Practices with Regents of the University of California, a 2,061-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
15
Licensed in
CA
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

9500 Gilman Dr 9116A
LA Jolla, CA 92093-1023
Phone: (858) 534-4040
Fax: (858) 822-0231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A134311 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174822639
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2011
Last updated in NPPESJune 16, 2015
Mailing address9500 Gilman Dr, 9116a, La Jolla, CA 92093-1023

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Also practisesGERIATRIC PSYCHIATRY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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