Active NPI
Sangmoo Lee DDS Inc
- Dental Clinic/Center
- Los Angeles, CA
National Provider Identifier
1245943950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sangmoo Lee, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Los Angeles, CA
- NPI 1457599656
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.