NPIMap

Organization Active NPI

Esther Eunsun Lee

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1609163849
Registry record updated Apr 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55927 Issued in CA
Legal business name
ESTHER EUNSUN LEE
Practice address
2655 W Olympic Blvd Ste 206
Los Angeles, CA 90006-2800
Phone
(213) 385-4011
Fax
(213) 947-4623
NPI assigned
Jul 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2023

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

Authorized official

Name
Esther Eunsun Lee, DDSNPI 1255527081
Title
Ceo
Phone
(213) 210-3920

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55927 CA Primary

Addresses

Primary practice location

2655 W Olympic Blvd Ste 206
Los Angeles, CA 90006-2800

Mailing address

2655 W Olympic Blvd Ste 206
Los Angeles, CA 90006-2800
Phone (213) 385-4011

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682121600000",
    "number": "1609163849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 W OLYMPIC BLVD STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062800",
            "telephone_number": "213-385-4011",
            "fax_number": "213-947-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 W OLYMPIC BLVD STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062800",
            "telephone_number": "213-385-4011",
            "fax_number": "213-947-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHER EUNSUN LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2023-04-22",
        "certification_date": "2023-04-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "EUNSUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-210-3920",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.