OrganizationActive
Ji Yon Lee MD, Inc
NPI 1043617939 · Pediatrics Physician · Irvine, CA
Ji Yon Lee MD, Inc is a Pediatrics Physician organization in Irvine, CA (NPI 1043617939).
Provider details
- NPI number
- 1043617939
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ji Han, Ceo(949) 757-3690
- License
- A108338 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4902 Irvine Center Dr Ste 102
Irvine, CA 92604-3334
Phone: (949) 757-3690
Fax: (949) 596-9146
Street-level locationGet directions
Mailing address
4902 Irvine Center Dr Ste 102
Irvine, CA 92604-3334
Other names (DBA / former)
- Doing business as
- Grace Pediatrics
- Doing business as
- Grace Pediatrics
Additional practice locations (1)
- 125 N Euclid StFullerton, CA 92832-1618Phone: (714) 773-1212Fax: (714) 773-9900
Registry dates
- Enumerated
- 2014-11-21
- Last updated
- 2023-04-25
- Certified
- 2023-04-25
Frequently asked questions
- What is Ji Yon Lee MD, Inc's NPI number?
- Ji Yon Lee MD, Inc's National Provider Identifier (NPI) is 1043617939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ji Yon Lee MD, Inc?
- Ji Yon Lee MD, Inc is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Ji Yon Lee MD, Inc located?
- Ji Yon Lee MD, Inc's practice location on file with NPPES is 4902 Irvine Center Dr Ste 102, Irvine, CA 92604-3334.
- What is Ji Yon Lee MD, Inc's phone number?
- The practice phone number listed in the NPPES registry for Ji Yon Lee MD, Inc is (949) 757-3690.
- Who is the authorized official for Ji Yon Lee MD, Inc?
- The authorized official listed on Ji Yon Lee MD, Inc's NPPES record is Ji Han, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ji Yon Lee MD, Inc's NPI active?
- Yes — Ji Yon Lee MD, Inc's NPI (1043617939) is active in the NPPES registry as of the last update on 2023-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.