Andrew Lee D.D.S., Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49134 Issued in CA

Legal business name

ANDREW LEE D.D.S., INC

Practice address

30212 Tomas
Suite 165
Rancho Santa Margarita, CA 92688-2172

Phone

(949) 766-0034

Fax

(949) 766-0035

NPI assigned

Dec 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Wonjoo Lee, D.D.S.NPI 1134515265

Title

President

Phone

(949) 766-0034

Specialties & licenses 1

Addresses

Other names 1

• El Paseo Dental Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Wonjoo Lee, D.D.S.

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
  • NPI 1134515265
  NPD (past) Authorized official

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1366710261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30212 TOMAS",
            "address_2": "SUITE 165",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882172",
            "telephone_number": "949-766-0034",
            "fax_number": "949-766-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30212 TOMAS",
            "address_2": "SUITE 165",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882172",
            "telephone_number": "949-766-0034",
            "fax_number": "949-766-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW LEE D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "WONJOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-766-0034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Paseo Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, 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 Jan 23, 2015; 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.