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

Jin Song Lee, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508492448

Jin Song Lee, DO is a Psychiatry in Waianae, Hawaii. Qualified in 2020, 6 years ago. Practices with Waimanalo Health Center, a 27-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
6
Licensed in
HI
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone: (808) 697-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 — (702) 671-5127

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2550 (HI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508492448
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 22, 2020
Last updated in NPPESJune 9, 2024
Certification dateJune 9, 2024
Mailing address3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Waimanalo Health Center — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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