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

Young Tae Lee, PNHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1225780562

Young Tae Lee, PNHNP is a Nurse Practitioner in Agoura Hills, California. Qualified in 2021, 5 years ago. Practices with Medi Psych Services Inc, a 17-clinician group and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

30423 Canwood St Ste 123
Agoura Hills, CA 91301-4314
Phone: (818) 385-1219
Fax: (818) 385-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95019749 (CA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 95158737 (CA)

Record details

NPI number1225780562
Entity typeIndividual (Type 1)
GenderMale
Credentials PNHNP
Sole proprietorNo
NPI enumeratedJanuary 18, 2022
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Medi Psych Services Inc — 17 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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