Keun Chan Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49928 Issued in CA

Practice address

12531 E Carson St
Hawaiian Gardens, CA 90716

Phone

(562) 924-2448

Fax

(562) 402-7587

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

Yes

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)

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 and National Provider Directory roles.

• Keun Chan Lee DDS Inc

  • Dentist
  • Hawaiian Gardens, CA
  • NPI 1689120149
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578684080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12531 E. CARSON ST",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "90716",
            "telephone_number": "562-924-2448",
            "fax_number": "562-402-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12531 E CARSON ST",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "90716",
            "telephone_number": "562-924-2448",
            "fax_number": "562-402-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEUN",
        "middle_name": "CHAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Cristina Lainez, MFT
• Yanina V Lambert
• Mayte Larios
• Chung Min Lee, MD
• Hoil Lee, M.D.
• Michelle Dolores Lehde
• Monica L Levin, MFT
• Ericka Johanna Lima, B.A.
• Erika Maribel Llanos
• Stacey Mah

• General Practice Dentistry in Hawaiian Gardens, CA
• Providers in Hawaiian Gardens, 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 Jul 8, 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.