Eun Soo Lee DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EUN SOO LEE DDS INC

Doing business as

Rosecrans Square Dental

Practice address

11818 Rosecrans Ave Ste B
Norwalk, CA 90650-4125

Phone

(562) 406-3826

Fax

(562) 868-4444

NPI assigned

Jan 27, 2020

Last updated

Mar 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eun Soo Lee, DDSNPI 1235654096

Title

Ceo

Phone

(562) 406-3826

Specialties & licenses 1

Addresses

Other names 1

• Rosecrans Square Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eun Soo Lee, DDS

  • General Practice Dentistry
  • Norwalk, CA
  • NPI 1235654096
  NPD Authorized official
• Teresita G Pabalan, DMD

  • Dentist
  • Norwalk, CA
  • NPI 1629176102
  NPD (past)

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1376174508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11818 ROSECRANS AVE STE B",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504125",
            "telephone_number": "562-406-3826",
            "fax_number": "562-868-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 ROSECRANS AVE STE B",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504125",
            "telephone_number": "562-406-3826",
            "fax_number": "562-868-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUN SOO LEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EUN SOO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-406-3826",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosecrans Square Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Esteban Estrada, MD
• Klarissa Alexandra Estrada
• Ruby Estrada, MFT
• Sandra M Eto, PHD
• Eufrocino C. Martinez, M. D., Inc.
• Eun-Sung Jung DDS a Professional Corporation (So Ho Dental)
• Alexandra Lee Evans
• Shontia Evans
• Rowena Barawidan Eyas
• Sarah Ezratty

• Dental Clinic/Center in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.