Changwoo Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

110111 Issued in CA

Practice address

3129 N San Fernando Rd
Los Angeles, CA 90065-1412

Phone

(323) 257-7744

Fax

(323) 257-5430

NPI assigned

Oct 23, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Luke Lee Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chang Woo Lee, D.D.S., Professional Corporation

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1912864760
  NPD (past)
• Dae H Song DDS Inc

  • Dentist
  • Los Angeles, CA
  • NPI 1831211820
  NPD (past)
• Dr. Song 8TH and Alvarado Family Dental Group

  • Dentist
  • Los Angeles, CA
  • NPI 1497099725
  NPD (past)
• Haitham Elgendi DDS Inc

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1942275128
  NPD (past)

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1124849914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 N SAN FERNANDO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651412",
            "telephone_number": "323-257-7744",
            "fax_number": "323-257-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 N SAN FERNANDO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651412",
            "telephone_number": "323-257-7744",
            "fax_number": "323-257-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHANGWOO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-23",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUKE",
            "last_name": "LEE",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cathy C Lee, M.D.
• Chan Y. Lee, D.D.S.
• Chang Roh Lee
• Chang Ryul Lee
• Chang Sup Lee, MD
• Charles Lee, M.D.
• Chelsea Lee
• Chen Yu Lee, M.D.
• Cheryl Lee, OTR/L
• Chewon Lee, PA-C

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.