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

Hee Tae Lee

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1174415749

Hee Tae Lee is a Nurse Practitioner in Los Angeles, California. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

3030 W Olympic Blvd Ste 217
Los Angeles, CA 90006-6507
Phone: (213) 703-5526
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95037221 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95231436 (CA)

Record details

NPI number1174415749
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 17, 2025
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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