Sung Kyu Lee DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

61684 Issued in CA

Legal business name

SUNG KYU LEE DDS INC

Practice address

2125 S Brea Canyon Rd
Diamond Bar, CA 91765-4019

Phone

(213) 308-1188

NPI assigned

Aug 4, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sung Kyu Lee, DDS

Title

Dentist

Phone

(213) 308-1188

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1043764293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 S BREA CANYON RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654019",
            "telephone_number": "213-308-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 S BREA CANYON RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654019",
            "telephone_number": "213-308-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG KYU LEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUNG KYU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "213-308-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.