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

Timothy Wong Sung Lee

Individual provider Family Nurse Practitioner · NPI 1356026405

Timothy Wong Sung Lee is a Nurse Practitioner in Loma Linda, California. Qualified in 2022, 4 years ago. Practices with Nephrology Associates Medical Group Inc, a 64-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

11448 Loma Linda Dr
Loma Linda, CA 92354-3744
Phone: (301) 821-3477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 E Highland Ave Ste 551, San Bernardino, CA 92404-3840 — (909) 882-9150

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95023451 (CA)

Record details

NPI number1356026405
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 16, 2023
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nephrology Associates Medical Group Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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