Gundong Lee Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GUNDONG LEE DENTAL CORPORATION

Practice address

16106 Bellflower Blvd
Bellflower, CA 90706-4606

Phone

(562) 920-9220

NPI assigned

Apr 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Gundong Lee, DDSNPI 1366812026

Title

Ceo

Phone

(909) 800-1994

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Gundong Lee

  • General Practice Dentistry
  • Ontario, CA
  • NPI 1366812026
  NPD Authorized official

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1396308276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16106 BELLFLOWER BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064606",
            "telephone_number": "562-920-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16106 BELLFLOWER BLVD",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064606",
            "telephone_number": "562-920-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDONG LEE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GUNDONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-800-1994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "65092",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Guerra
• Aracely Guerrero
• Gisselle Guerrero
• Guiding Light Childrens Therapy, LLC
• Karima Gulwani, NURSE PRACTITIONER
• Richard Michael Gunsolus, D.C.
• Narendra G. Gurbani, MD
• Gabriel Gutierrez, RRT, RCP
• Joseph Gutierrez
• Luis Roberto Guzman Zavala

• General Practice Dentistry in Bellflower, CA
• Providers in Bellflower, 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 Apr 17, 2019; 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.