Chong Il Lee D.D.S a Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

B25931 Issued in CA

Legal business name

CHONG IL LEE D.D.S A PROFESSIONAL CORPORATION

Practice address

1739 S Euclid Ave Ste a
Ontario, CA 91762-5831

Phone

(909) 983-9325

Fax

(909) 467-9956

NPI assigned

Nov 4, 2008

Last updated

Nov 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chong Il Lee, D.D.SNPI 1033137773

Title

President

Phone

(909) 983-9325

Specialties & licenses 1

Addresses

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.

• Chong Il Lee, DDS

  • General Practice Dentistry
  • Ontario, CA
  • NPI 1033137773
  NPD (past) Authorized official
• Yongjean Shin, D.D.S.

  • General Practice Dentistry
  • Ontario, CA
  • NPI 1760516736
  NPD (past)

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1164675195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 S EUCLID AVE STE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625831",
            "telephone_number": "909-983-9325",
            "fax_number": "909-467-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 S EUCLID AVE STE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625831",
            "telephone_number": "909-983-9325",
            "fax_number": "909-467-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHONG IL LEE D.D.S A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHONG",
        "authorized_official_middle_name": "IL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-983-9325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "B25931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Choi, PHYSICIAN ASSISTANT
• Jun Hyeok Choi
• Matthew Choi
• Serena Choi
• Solomia Choi
• Cany Tan Chong
• Ju-Chin Chou, OTR/L
• Lilian Y Chou, PA-C
• Vivian Chou
• Cora Sau Chu Chow, RPT

• Dental Clinic/Center in Ontario, CA
• Providers in Ontario, 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 Nov 4, 2008; 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.