Active NPI
Suk Joong Lee, DDS
- Dentist
- La Habra, CA
National Provider Identifier
1609839042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38075
- Practice address
- 1150 E Imperial Hwy
La Habra, CA 90631-7454 - Phone
- (714) 992-2200
- Fax
- (714) 992-2645
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 38075 | CA | Primary |
Addresses
Primary practice location
1150 E Imperial Hwy
La Habra, CA 90631-7454
Mailing address
35 Ericson Aisle
Irvine, CA 92620-5725
Phone (909) 239-1184
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151119000411 | CA | Order and Referring Only - Oral Surgery | 8527368703 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38075 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suk Joong Lee DDS Inc | Current | Accepting new patients |
Locations
1150 E Imperial Hwy
La Habra, CA 90631
Phone (714) 992-2200
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609839042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 ERICSON AISLE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926205725",
"telephone_number": "909-239-1184",
"fax_number": "714-992-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 E IMPERIAL HWY",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906317454",
"telephone_number": "714-992-2200",
"fax_number": "714-992-2645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUK",
"middle_name": "JOONG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "38075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Habra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.