Individual provider · Type 1 NPI

Ellen Kyungchae Lee, PA

Physician Assistant · Santa Monica, CA

NPI number 1962046714 Active

Practice location

2221 Lincoln Blvd Ste 100
Santa Monica, CA 90405-1320

Call (310) 392-1111 Map

Fax (310) 392-1101

Other practice locations

  • 9090 Burton Way, Beverly Hills, CA 90211-1661 · (310) 392-1111

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1962046714

Ellen Kyungchae Lee, PA's National Provider Identifier is 1962046714, issued on Nov 5, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Santa Monica, CA. The record was last updated on Oct 20, 2025.