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

Jongserk Robert Lee, DO, MS

Individual provider Neurology Physician · NPI 1861999005

Jongserk Robert Lee, DO, MS is a Neurology in Modesto, California. Graduated from Touro Un Col of Osteopathic Medicine, Henderson in 2018, 8 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Trained at
Touro Un Col of Osteopathic Medicine, Henderson
Licensed in
CA
In the registry since
2018
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

4601 Dale Rd
Modesto, CA 95356-9718
Phone: (209) 735-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 17556 (CA)

Record details

NPI number1861999005
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , MS
Sole proprietorYes
NPI enumeratedApril 12, 2018
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address1000 W Carson St # 432, Torrance, CA 90502-2059

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated 2018 (8 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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