Kim & Lee DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KIM & LEE DDS INC.

Practice address

9009 Knott Ave
Buena Park, CA 90620-4169

Phone

(714) 252-5677

NPI assigned

Aug 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Linda Mee Young Lee, DDSNPI 1790214484

Title

Ceo/Dentist

Phone

(503) 360-8886

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Linda Mee-Young Lee, DDS

  • General Practice Dentistry
  • Sylmar, CA
  • NPI 1790214484
  Medicare reassignment NPD Authorized official
• Daeuk David Kim, DDS

  • Dentist
  • Brea, CA
  • NPI 1356827737
  Medicare reassignment NPD
• Sae Chan Lee

  • General Practice Dentistry
  • Des Moines, WA
  • NPI 1700245248

  CA

  Medicare reassignment NPD
• Min Kyung Kim, DDS

  • Dentist
  • Anaheim, CA
  • NPI 1447973110
  NPD (past)

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1558038513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 ARTS AVE",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216161",
            "telephone_number": "503-360-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 KNOTT AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204169",
            "telephone_number": "714-252-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM & LEE DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MEE YOUNG",
        "authorized_official_title_or_position": "CEO/DENTIST",
        "authorized_official_telephone_number": "503-360-8886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne N Kessler, BCBA
• Sohanabanu Irshad Khalak, PHARMD
• Shahd Kharouf
• Pooja Khirasaria
• Rebecca Kiani, PHARMD
• Kim Youngrae Medical, Inc
• Ashlie J Kim
• Chang Ho Kim, LAC
• Christine Kim
• Christine E Kim, PHD

• 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 Oct 18, 2021; 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.

Verify at the official NPI Registry.