Sooji Hong Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54619 Issued in CA

Practice address

6225 Villa Linda CT
Buena Park, CA 90620-4721

Phone

(818) 279-1634

NPI assigned

Jun 6, 2007

Last updated

Aug 27, 2013By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ahn, Lee and Park Dental Group, Inc

  dba blessed Smile dentistry

  • Dentist
  • Diamond Bar, CA
  • NPI 1265872444
  Authorized official Same address or phone
• Sooji H. Lee, DDS, Inc

  • General Practice Dentistry
  • Buena Park, CA
  • NPI 1558795203
  NPD (past) Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1548463672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 VILLA LINDA CT",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204721",
            "telephone_number": "818-279-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 VILLA LINDA CT",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204721",
            "telephone_number": "818-279-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOOJI",
        "middle_name": "HONG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Lee, DPT
• Samuel C Lee, NP
• Sang DO Lee, DC
• Sherlynn Ji Hyun Lee, PA-C
• Soledad O Lee, MD
• Sujin Lee
• Susan Moon Lee, DDS
• Susan Soojin Lee
• Yoon Jung Lee
• Leepae RX Inc (Family Care Pharmacy)

• General Practice Dentistry in Buena Park, CA
• Providers in Buena Park, 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 Aug 27, 2013; 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.