NPIMap

Organization Active NPI

Lee and Sambangi Dental Corporation

  • General Practice Dentistry
  • Claremont, CA
National Provider Identifier
1497157697
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEE AND SAMBANGI DENTAL CORPORATION
Practice address
405 W Foothill Blvd
Suite 104
Claremont, CA 91711-2786
Phone
(909) 626-1236
Fax
(909) 626-1242
NPI assigned
Sep 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Dr. Soojin Lee, DDS
Title
Owner
Phone
(909) 626-1236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

405 W Foothill Blvd
Suite 104
Claremont, CA 91711-2786

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Claremont Modern Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

405 W Foothill Blvd
Ste 104
Claremont, CA 91711
Phone (909) 626-1236

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1497157697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W FOOTHILL BLVD",
            "address_2": "SUITE 104",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112786",
            "telephone_number": "909-626-1236",
            "fax_number": "909-626-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE AND SAMBANGI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SOOJIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-626-1236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claremont Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.