Jinsoo Lee
NPI 1720886146ActiveIndividual· Physical Therapist· Fullerton, CA
Physical Therapist with California Luna Care Physical Therapy PC and 1 other group, practicing in Fullerton, California. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1720886146 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 3, 2025 |
| Last updated in NPPES | Mar 3, 2025 |
| Certified by provider | Mar 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 307281 | 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 - Physical Therapist in Private Practice (CA) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- California Luna Care Physical Therapy PCLos Gatos, CA · 780 clinicians
- Bom Vichae Physical Therapy Professional CorporationFullerton, CA · 3 clinicians
Other physical therapists in Fullerton
- 1003108036
- 1013933613
- 1063293736
- 1093055410
- 1124115407
- 1144716481
- 1144808932
- 1275133209
- 1275657199
- 1285974642
- 1386143253
- 1407383342
All 69 physical therapists in Fullerton · All physical therapists in California