Organization Active NPI

Joon Hee Lee DMD a Professional Corp.

  • Dental Clinic/Center
  • Pico Rivera, CA
National Provider Identifier
1588392005
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOON HEE LEE DMD A PROFESSIONAL CORP.
Practice address
9547 1/2 Telegraph Road
Pico Rivera, CA 90660
Phone
(562) 222-3396
Fax
(562) 222-3842
NPI assigned
Aug 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Dr. Joon Hee Lee, DMDNPI 1710388715
Title
President
Phone
(562) 222-3396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9547 1/2 Telegraph Road
Pico Rivera, CA 90660

Mailing address

9547 1/2 Telegraph Road
Pico Rivera, CA 90660
Phone (562) 222-3396

Other identifiers 1

IdentifierTypeStateIssuer
1710388715MedicaidCA

National Provider Directory

National Provider Directory

Locations

9547 Telegraph Rd
Pico Rivera, CA 90660
Phone (562) 222-3396

Practitioners & affiliated clinicians

Practitioners 1

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": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1588392005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9547 1/2 TELEGRAPH ROAD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "90660",
            "telephone_number": "562-222-3396",
            "fax_number": "562-222-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9547 1/2 TELEGRAPH ROAD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "90660",
            "telephone_number": "562-222-3396",
            "fax_number": "562-222-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOON HEE LEE DMD A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOON HEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-222-3396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710388715",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pico Rivera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.