Woong Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101202 Issued in CA

Practice address

20700 Avalon Blvd Ste 600
Carson, CA 90746-3701

Phone

(310) 241-6175

NPI assigned

Sep 19, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Scott Jacks, DDS, Inc

  dba Children's Dental Group

  • Dentist
  • Carson, CA
  • NPI 1043414576
  NPD (past)
• Western Dental Service, Inc

  • Dentist
  • Carson, CA
  • NPI 1790201267
  NPD (past)

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578845277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W COMMONWEALTH AVE APT 237",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333019",
            "telephone_number": "915-588-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 AVALON BLVD STE 600",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463701",
            "telephone_number": "310-241-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "WOONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27448",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ji Eun Lee, M.D.
• Kristen Ann Lee, O.D.
• Melanie N Lee
• Rebecca Lee, PHARM.D.
• Sharon Hyang Ki Lee, DDS
• Jilian Flores Legaspi, OTR/L
• Hector Leiva
• Lenise N. Yarber D.D.S , Professional Dental Corporation (Children's Dental Specialist Southbay)
• Leticia R. Tolentino, DMD, Inc.
• Lifecare Solutions Inc

• General Practice Dentistry in Carson, CA
• Providers in Carson, 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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.