Haejean Lee DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49136 Issued in CA

Legal business name

HAEJEAN LEE DDS INC.

Practice address

14514 Ramona Blvd Ste 1
Baldwin Park, CA 91706-3361

Phone

(626) 337-4700

Fax

(626) 337-8133

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Haejean Lee, DDS

Title

Ceo

Phone

(626) 337-8133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1316147283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14514 RAMONA BLVD STE 1",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063361",
            "telephone_number": "626-337-4700",
            "fax_number": "626-337-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14514 RAMONA BLVD STE 1",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063361",
            "telephone_number": "626-337-4700",
            "fax_number": "626-337-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAEJEAN LEE DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HAEJEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-337-8133",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Gushiken, OTR
• George Albert Gutierrez
• Godofredo R. Gutierrez, MD
• Souheil M. Habbal, MD
• Tracy Clair Hadfield, RD
• Sarah Christine Hall, DPT
• Bryant Andrew Hammershaimb, MD
• Paul Han, MD
• Julie Ann Pina Hankins, RN, CPNP, DNP
• Enas Hanna, RPH

• General Practice Dentistry in Baldwin Park, CA
• Providers in Baldwin Park, 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 Jul 19, 2007; 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.