Andrew Yong-Jin Lee, M.D.,D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

OMS32 Issued in CA

Practice address

12860 10TH Street
Suite a
Chino, CA 91710-4294

Phone

(909) 591-0241

Fax

(909) 591-1691

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Leon D. Roisman, D.M.D., Inc.

  • Prosthodontics
  • Pasadena, CA
  • NPI 1912046871

  Oral and Maxillofacial Surgery

  NPD (past)
• Stephen Taylor,DMD, Robert Hou, DDS,MD, & Andrew Lee, DDS,MD, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Chino, CA
  • NPI 1598882094
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396862728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12860 10TH STREET",
            "address_2": "SUITE A",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104294",
            "telephone_number": "909-591-0241",
            "fax_number": "909-591-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12860 10TH STREET",
            "address_2": "SUITE A",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104294",
            "telephone_number": "909-591-0241",
            "fax_number": "909-591-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANDREW",
        "middle_name": "YONG-JIN",
        "name_prefix": "Dr.",
        "credential": "M.D.,D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "OMS32",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Le, O.D.
• Quynhanh Q Le, DOCTOR OF PHARMACY
• Leah Clarisse Dayrit DMD Inc
• Jacob Lebeau, DO
• Lee & Widodo DDS Inc
• Cynthia S Lee, NP
• David Younseog Lee, MD
• Diane Lee, PHARM.D
• Dong Eun Lee, LMFT
• Esther Lee, DDS

• Oral and Maxillofacial Surgery (Dentist) in Chino, CA
• Providers in Chino, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.