BONGSOO EDWIN LEE (D.C.) – Sports Physician Chiropractor, NPI 1285721589

BONGSOO EDWIN LEE (D.C.) is a healthcare provider. based in Torrance, California. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 20285 (CA). The NPI Number for BONGSOO EDWIN LEE (D.C.) is 1285721589

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
BONGSOO EDWIN LEE (D.C.)
NPI
1285721589
Phone
(310) 530-3032
Address
4305 TORRANCE BLVD.
Enumeration Date
6 October 2006
Last Update Date
31 December 2008

Doctor Profile

Medical School Name
LOS ANGELES COLLEGE OF CHIROPRACTIC
Secondary Phone
3105303032
Graduation Year
1989 (37 years ago)
PAC ID
8224190376
Professional Enrollment ID
I20081224000005
Address ID
CA905034404TO4305XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,358 CHIROPRACTIC in CA

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Provider Addresses for BONGSOO EDWIN LEE (D.C.)

  • Urgent Care Center of South Bay, 4305, Torrance Boulevard, Torrance, Los Angeles County, California, 90503, United States

    SUITE 400

    TORRANCE, CA 905034404

    Phone: (310) 530-3032

    Type: Mailing

  • 4305, Torrance Boulevard, Torrance, Los Angeles County, California, 90503, United States

    SUITE 400

    TORRANCE, CA 905034409

    Phone: (310) 530-3032

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081224000005IChiropracticCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98940Chiropractic manipulative treatment, 1-2 spinal regions12013$0
View full utilization report →

Insurance plans in this area (ZIP 90503)

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Reviews

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Frequently asked questions

What unique ID ties claims to BONGSOO EDWIN LEE (D.C.)?
NPI 1285721589 is assigned to BONGSOO EDWIN LEE (D.C.) under the national enumeration system.
Is BONGSOO EDWIN LEE (D.C.) currently active in the NPI registry?
CMS-published data lists BONGSOO EDWIN LEE (D.C.) as an active registrant.
What does BONGSOO EDWIN LEE (D.C.) treat or focus on?
Patients typically see BONGSOO EDWIN LEE (D.C.) under the specialty Sports Physician Chiropractor. Clinical services aligned with this taxonomy classification.
Does BONGSOO EDWIN LEE (D.C.) practice in California?
You will see Torrance, California on file for BONGSOO EDWIN LEE (D.C.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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