Eun Soo Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101626 Issued in CA

Practice address

11818 Rosecrans Ave Ste B
Norwalk, CA 90650-4125

Phone

(562) 406-3826

Fax

(562) 868-4444

NPI assigned

Aug 13, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Eun Soo Lee DDS Inc

  • Dental Clinic/Center
  • Norwalk, CA
  • NPI 1376174508
  NPD Authorized official
• Eun Soo Lee Dental Group, Inc.

  • Dental Clinic/Center
  • Santa Ana, CA
  • NPI 1699341339
  NPD Authorized official
• Lee, Wee &Baek. DDS. Inc

  • Dental Clinic/Center
  • Joshua Tree, CA
  • NPI 1699940486
  NPD (past)

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

{
    "created_epoch": "1502582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1235654096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11818 ROSECRANS AVE STE B",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504125",
            "telephone_number": "562-406-3826",
            "fax_number": "562-868-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 ROSECRANS AVE STE B",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504125",
            "telephone_number": "562-406-3826",
            "fax_number": "562-868-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927015365",
            "country_code": "US",
            "telephone_number": "714-835-5921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "EUN SOO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-13",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Ledesma
• Esmeralda Ledesma, MSW, LCSW
• Lawrence J Ledesma, PHD
• Maya Ledesma
• Ledger Care Inc
• Eunmee Lee, LCSW
• Hessal Kate Lee, PA-C
• Jae Koo Lee, L.AC.
• Kenneth Lee, M.D.
• Michael Joon Lee, O.D.

• General Practice Dentistry in Norwalk, CA
• Providers in Norwalk, 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 15, 2023; 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.