Active NPI
Ju Young Lee DDS Inc
- General Practice Dentistry
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61258
- Legal business name
- JU YOUNG LEE DDS INC
- Practice address
- 2500 W 8TH St
106
Los Angeles, CA 90057-3860 - Phone
- (213) 381-2827
- Fax
- (213) 381-2829
- NPI assigned
- Apr 20, 2017
- Last updated
- Apr 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ju Young Lee, D.D.S.
- Title
- Dentist
- Phone
- (714) 817-8345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61258 | CA | Primary |
Addresses
Primary practice location
2500 W 8TH St
106
Los Angeles, CA 90057-3860
Mailing address
2500 W 8TH St
106
Los Angeles, CA 90057-3860
Phone (213) 381-2827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Ju Young Lee DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Anaheim, CA
- NPI 1235663840
Locations
2500 W 8th St
Ste 106
Los Angeles, CA 90057
Phone (213) 381-2827
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1720294184
-
- General Practice Dentistry
- Los Angeles, CA
- NPI 1073432373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492646400000",
"number": "1407380025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W 8TH ST",
"address_2": "106",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900573860",
"telephone_number": "213-381-2827",
"fax_number": "213-381-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W 8TH ST",
"address_2": "106",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900573860",
"telephone_number": "213-381-2827",
"fax_number": "213-381-2829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JU YOUNG LEE DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-20",
"last_updated": "2017-04-20",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JU",
"authorized_official_middle_name": "YOUNG",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "714-817-8345",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "61258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.