Organization Active NPI

Sangmoo Lee DDS Inc

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1245943950
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SANGMOO LEE DDS INC
Practice address
3030 W 8TH St Ste 305
Los Angeles, CA 90005-1870
Phone
(213) 384-4400
NPI assigned
Dec 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Dr. Sangmoo Lee, DDSNPI 1457599656
Title
President
Phone
(909) 435-9509

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3030 W 8TH St Ste 305
Los Angeles, CA 90005-1870

Mailing address

1450 Fulbright Ave
Redlands, CA 92373-4938
Phone (909) 435-9509

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1245943950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 FULBRIGHT AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734938",
            "telephone_number": "909-435-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W 8TH ST STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051870",
            "telephone_number": "213-384-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGMOO LEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANGMOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-435-9509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.