Yvonne Shuwa Lee, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

61048 Issued in CA

Practice address

1808 Verdugo Hills
Suite 312
Glendale, CA 91208-1456

Phone

(818) 790-6721

NPI assigned

Jul 21, 2012

Last updated

Apr 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1342828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1386999779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 VERDUGO BLVD",
            "address_2": "SUITE 312",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081477",
            "telephone_number": "818-790-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 VERDUGO HILLS",
            "address_2": "SUITE 312",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081456",
            "telephone_number": "818-790-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YVONNE",
        "middle_name": "SHUWA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-21",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "61048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yong Hwi Lee, L.AC.
• Yoori Lee
• Young Lee
• Younji Lee, PHARMD
• Yu-Ching Karen Lee, NP
• Legacy of Tender Care Hospice Inc
• Leisure Grove, LLC
• Leisure Healthcare LLC (Leisure Glen Post Acute Care Center)
• Leisure Vale Retirement Hotel (B. V. General, Inc.)
• Leland E Watkins M D Inc

• Pediatric Dentistry in Glendale, CA
• Providers in Glendale, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.