Organization Active NPI

Danny Lee, D.M.D a Professional Corp

Doing business as Dental Spa of West Covina

  • General Practice Dentistry
  • West Covina, CA
National Provider Identifier
1053455501
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47114 Issued in CA
Legal business name
DANNY LEE, D.M.D A PROFESSIONAL CORP
Doing business as
Dental Spa of West Covina
Practice address
346 N Azusa Ave
West Covina, CA 91791-1345
Phone
(626) 859-2439
Fax
(626) 967-2351
NPI assigned
Feb 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jeannie S Lee
Title
Office Manager
Phone
(626) 859-2439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 47114 CA Primary

Addresses

Primary practice location

346 N Azusa Ave
West Covina, CA 91791-1345

Mailing address

346 N Azusa Ave
West Covina, CA 91791-1345
Phone (626) 859-2439

Other names 1

  • Dental Spa of West Covina Doing business as

National Provider Directory

National Provider Directory

Locations

346 N Azusa Ave
West Covina, CA 91791
Phone (626) 859-2439

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053455501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 N AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911345",
            "telephone_number": "626-859-2439",
            "fax_number": "626-967-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 N AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911345",
            "telephone_number": "626-859-2439",
            "fax_number": "626-967-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY LEE, D.M.D A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-859-2439",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Spa of West Covina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.