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

Stacy Lee

Individual provider Physician Assistant · NPI 1477261857

Stacy Lee is a Physician Assistant in Lynwood, California. Qualified in 2022, 4 years ago. Practices with Southern California Emergency Medical Group, a 25-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone: (310) 900-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 62009 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1477261857
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 14, 2022
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023
Mailing address3630 E Imperial Hwy, Lynwood, CA 90262-2609

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southern California Emergency Medical Group — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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