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

Eunjin Lee

Individual provider Primary Care Nurse Practitioner · NPI 1932059250

Eunjin Lee is a Nurse Practitioner in Riverside, California. Qualified in 2024, 2 years ago. Practices with Grace Medical and Wellness Clinic, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2026
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Practice location Address checks out

6900 Brockton Ave Ste 200
Riverside, CA 92506-3818
Phone: (951) 682-6263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 95031440 (CA)

Record details

NPI number1932059250
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 28, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026
Mailing address6900 Brockton Ave Ste 200, Riverside, CA 92506-3818

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Grace Medical And Wellness Clinic — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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