Gottschalk and Lee Dental Corp.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

SUR01353F Issued in CA

Legal business name

GOTTSCHALK AND LEE DENTAL CORP.

Practice address

5620 Wilbur Ave. Suite 319
Tarzana, CA 91356-1351

Phone

(818) 344-4210

Fax

(818) 344-4093

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Kenneth Kianfu Lee, D.D.S.

Title

Owner

Phone

(818) 344-4210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1104088160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVE. SUITE 319",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561351",
            "telephone_number": "818-344-4210",
            "fax_number": "818-344-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVE. SUITE 319",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561351",
            "telephone_number": "818-344-4210",
            "fax_number": "818-344-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTTSCHALK AND LEE DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "KIANFU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-344-4210",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "SUR01353F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Goodman, M.S., R.D.
• Arun Gopal, M.D.
• Isaac Gorbaty, M.D.
• Melissa Gordon, MS
• Terry Gore, RN
• Henry William Gottschalk, D.D.S.
• Maurice Gourdji, M.D.
• Harry Gouyoumjian, QASP-S
• Corrie Leanne Gradney, RADT
• Rania Graetz, AMFT

• Dental Clinic/Center in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.