Christiana Lee, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

105075 Issued in CA

Practice address

391 S State College Blvd Ste M
Brea, CA 92821-5755

Phone

(714) 464-8367

NPI assigned

Oct 8, 2019

Last updated

Jul 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Christiana Cheng Former 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jongwook Lee DDS Inc

  • Dentist
  • Torrance, CA
  • NPI 1710375837
  NPD (past)
• Moa Dental Group

  • Dental Clinic/Center
  • Torrance, CA
  • NPI 1669604377
  NPD (past)

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1134760408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 S STATE COLLEGE BLVD STE M",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215755",
            "telephone_number": "147-464-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 S STATE COLLEGE BLVD STE M",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215755",
            "telephone_number": "714-464-8367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3226 Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905052719",
            "country_code": "US",
            "telephone_number": "310-530-2875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHRISTIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2022-07-11",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIANA",
            "last_name": "CHENG",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anita Lymon Owyang Lee, O.D.
• Blaine Robert Lee, PMHNP-BC
• Bruce Sangho Lee
• Bryan Paul Lee, CNIM
• Changnin Terence Lee, M.D.
• Daniel Lee, DDS
• Dong Sup Lee
• Jae Won Lee, L.AC
• Janice Jungeun Lee
• Kevin Lee, D.D.S.

• Dentist in Brea, CA
• Providers in Brea, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.