Organization Active NPI

Hyun Chan Lee

  • Dentist
  • Hawaiian Gardens, CA
National Provider Identifier
1326102013
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D41455 Issued in CA
Legal business name
HYUN CHAN LEE
Practice address
12137 E Carson St
Hawaiian Gardens, CA 90716
Phone
(562) 402-8060
Fax
(562) 809-1552
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Mr. Hyun Chan Lee, DDS MSNPI 1396847737
Title
Dentist
Phone
(562) 402-8060

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D41455 CA Primary

Addresses

Primary practice location

12137 E Carson St
Hawaiian Gardens, CA 90716

Mailing address

12137 Carson St
Hawaiian Gardens, CA 90716-1154
Phone (562) 402-8060

National Provider Directory

National Provider Directory

Locations

12137 Carson St
Hawaiian Gardens, CA 90716
Phone (562) 402-8060

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1326102013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12137 CARSON ST",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907161154",
            "telephone_number": "562-402-8060",
            "fax_number": "562-809-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12137 E CARSON ST",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "90716",
            "telephone_number": "562-402-8060",
            "fax_number": "562-809-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUN CHAN LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HYUN CHAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "562-402-8060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "D41455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawaiian Gardens, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.