Hyun Suk Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS103831 Issued in CA

Practice address

2523 S San Pedro St
Los Angeles, CA 90011-1519

Phone

(213) 441-7704

NPI assigned

Apr 3, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hyun Suk Lee DDS Inc

  dba Happy Kidds Dental Studio Dental office of Dr.Lee

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1396374211
  NPD Authorized official
• Dental Health Associates PA

  • General Practice Dentistry
  • Plainfield, NJ
  • NPI 1124107990
  NPD (past)

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1447593991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 N CENTRAL AVE APT 425",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031852",
            "telephone_number": "213-215-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111519",
            "telephone_number": "213-441-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HYUN SUK",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02530600",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS103831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyo-Rang Lee, M.D.,PH.D
• Hyojoo Susan Lee
• Hyuk Won Lee, L.AC
• Hyun Joo Lee
• Hyun Ju Lee
• Hyunah Lee, LMFT
• Hyungwon Lee, PHD, LAC
• In Ok Lee, L.AC
• Inyoung Lee
• Iris Lee, D.O.

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 13, 2020; 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.