Chihyunglee,DDS,Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41638 Issued in CA

Legal business name

CHIHYUNGLEE,DDS,INC.

Practice address

2125 S Brea Canyon Rd
Diamond Bar, CA 91765-4019

Phone

(909) 396-5059

Fax

(909) 396-1929

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Fred Chihyung Lee, DDS

Title

Owner

Phone

(909) 396-5059

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356424469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 S BREA CANYON RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654019",
            "telephone_number": "909-396-5059",
            "fax_number": "909-396-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 S BREA CANYON RD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654019",
            "telephone_number": "909-396-5059",
            "fax_number": "909-396-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIHYUNGLEE,DDS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "CHIHYUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-396-5059",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Diamond Bar, CA
• Providers in Diamond Bar, 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 Aug 22, 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.

Verify at the official NPI Registry.