Active NPI
Yoon Haeng Lee, D.D.S.
- Endodontics
- San Rafael, CA
National Provider Identifier
1265980965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 64155
- Practice address
- 750 Las Gallinas Ave Ste 108
San Rafael, CA 94903-3431 - Phone
- (415) 479-6444
- NPI assigned
- Sep 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 64155 | CA | Primary |
Addresses
Primary practice location
750 Las Gallinas Ave Ste 108
San Rafael, CA 94903-3431
Mailing address
1926 35TH Ave
San Francisco, CA 94116-1110
Phone (323) 706-1783
Other practice location 1
2827 Franklin St
San Francisco, CA 94123-3107
Phone (415) 776-1900
Other names 1
- Dr. Yoon Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1265980965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1926 35TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161110",
"telephone_number": "323-706-1783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 LAS GALLINAS AVE STE 108",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033431",
"telephone_number": "415-479-6444"
}
],
"practiceLocations": [
{
"address_1": "2827 Franklin St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941233107",
"country_code": "US",
"telephone_number": "415-776-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "YOON HAENG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "64155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YOON",
"last_name": "LEE",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.