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

Ji Eun Lee, MD

Individual provider Family Medicine Physician · NPI 1609305259

Ji Eun Lee, MD is a Family Practice in Carson, California. Graduated from Tufts University School of Medicine in 2017, 9 years ago. Practices with Memorialcare Medical Foundation, a 562-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Iowa.

Years since qualifying
9
Trained at
Tufts University School of Medicine
Licensed in
CA, IA
In the registry since
2017
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

21601 Avalon Blvd Ste 124
Carson, CA 90745
Phone: (657) 241-4080
Fax: (657) 276-4740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A174189 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence R-10957 (IA)

Record details

NPI number1609305259
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2017
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025
Mailing address21601 Avalon Blvd. Suite 124, Carson, CA 90745

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Memorialcare Medical Foundation — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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