Active NPI
Susan J Lee, D.M.D., M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Tarzana, CA
National Provider Identifier
1083775696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- A94671
- Practice address
- 18372 Clark St
Suite 224
Tarzana, CA 91356-3508 - Phone
- (818) 996-1200
- Fax
- (818) 996-1325
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | A94671 | CA | Primary |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | A94671 | CA |
Addresses
Primary practice location
18372 Clark St
Suite 224
Tarzana, CA 91356-3508
Mailing address
18372 Clark St
Suite 224
Tarzana, CA 91356-3508
Phone (818) 996-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1083775696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18372 CLARK ST",
"address_2": "SUITE 224",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563508",
"telephone_number": "818-996-1200",
"fax_number": "818-996-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18372 CLARK ST",
"address_2": "SUITE 224",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563508",
"telephone_number": "818-996-1200",
"fax_number": "818-996-1325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUSAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.M.D., M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "A94671",
"primary": true
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "CA",
"license": "A94671",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.