Michelle Su Jin Lee
NPI 1154832640ActiveIndividual· Speech-Language Pathologist· Downey, CA
Speech-Language Pathologist with Southern California Permanente Medical Group, practicing in Downey, California. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1154832640 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 24, 2017 |
| Last updated in NPPES | Jan 17, 2025 |
| Certified by provider | Jan 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 33224 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (CA) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
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All 52 speech-language pathologists in Downey · All speech-language pathologists in California