Individual provider · Type 1 NPI

Hee Tae Lee

Psychiatric/Mental Health Nurse Practitioner · Los Angeles, CA

NPI number 1174415749 Active

Practice location

3030 W Olympic Blvd Ste 217
Los Angeles, CA 90006-6507

Call (213) 703-5526 Map

Mailing address

2466 Montrose Ave Apt 2
Montrose, CA 91020-1476

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95037221 (CA)
Registered Nurse 163W00000X95231436 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1174415749

Hee Tae Lee's National Provider Identifier is 1174415749, issued on Jul 17, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 1, 2025.