NPIMap

Organization Active NPI

Soo Nam Lee DDS Inc

  • Dentist
  • El Monte, CA
National Provider Identifier
1467642678
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27786 Issued in CA
Legal business name
SOO NAM LEE DDS INC
Practice address
3818 N Peck Road
Suite C
El Monte, CA 91732-2241
Phone
(626) 350-0944
Fax
(626) 350-9133
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Dr. Soo Nam Lee, DDS
Title
President
Phone
(626) 350-0944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 27786 CA Primary

Addresses

Primary practice location

3818 N Peck Road
Suite C
El Monte, CA 91732-2241

Mailing address

3818 N Peck Road
Suite C
El Monte, CA 91732-2241
Phone (626) 350-0944

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1467642678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 N PECK ROAD",
            "address_2": "SUITE C",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322241",
            "telephone_number": "626-350-0944",
            "fax_number": "626-350-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 N PECK ROAD",
            "address_2": "SUITE C",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322241",
            "telephone_number": "626-350-0944",
            "fax_number": "626-350-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOO NAM LEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SOO",
        "authorized_official_middle_name": "NAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-350-0944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "27786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.