Shin & Lee DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHIN & LEE DDS, INC

Practice address

3150 E Imperial Hwy # B8-207
Lynwood, CA 90262-3223

Phone

(909) 800-1994

NPI assigned

Apr 6, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Gundong Lee, DDSNPI 1366812026

Title

Secretary

Phone

(909) 800-1994

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gundong Lee

  • General Practice Dentistry
  • Ontario, CA
  • NPI 1366812026
  NPD Authorized official

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1215516232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 E IMPERIAL HWY # B8-207",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 E IMPERIAL HWY # B8-207",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623223",
            "telephone_number": "909-800-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIN & LEE DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GUNDONG",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "909-800-1994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shields for Families
• Shields for Families
• Shields for Families
• Shields for Families
• Shields for Families
• Daniella O Shina, ACSW
• Charlene Shirley
• Rama Siddiqui, M.D.
• Lauren Siegel
• Cristina Sierra, RN

• General Practice Dentistry in Lynwood, CA
• Providers in Lynwood, 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 Apr 6, 2021; 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.