Active NPI
Sungah Lee, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Van Nuys, CA
National Provider Identifier
1356860795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DDS101031
- Practice address
- 13716 Sherman Way
Van Nuys, CA 91405-2626 - Phone
- (925) 989-9725
- NPI assigned
- Sep 18, 2017
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DDS101031 | CA | Primary |
Addresses
Primary practice location
13716 Sherman Way
Van Nuys, CA 91405-2626
Mailing address
635 S Hobart Blvd Apt 130
Los Angeles, CA 90005-5507
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS101031 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505692800000",
"number": "1356860795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 S HOBART BLVD APT 130",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900055507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13716 SHERMAN WAY",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052626",
"telephone_number": "925-989-9725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUNGAH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-18",
"last_updated": "2017-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "DDS101031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.