Jae Won Lee

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

65273 Issued in CA

Practice address

66450 Pierson Blvd
Desert Hot Springs, CA 92240-3672

Phone

(760) 329-2191

Fax

(760) 329-3581

NPI assigned

Nov 29, 2017

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jae Won Lee DDS, Inc

  • Dental Clinic/Center
  • Desert Hot Springs, CA
  • NPI 1265148605
  NPD Authorized official
• Gun Gil Lee, DDS, Inc.

  • Dental Clinic/Center
  • Desert Hot Springs, CA
  • NPI 1205354354
  NPD (past)

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1699289645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11072 WILSON CV",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546512",
            "telephone_number": "907-346-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66450 PIERSON BLVD",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922403672",
            "telephone_number": "760-329-2191",
            "fax_number": "760-329-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAE WON",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-29",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Charles Larson, M.S.
• James S Lau, DDS
• Hannah Melissa Lawler
• Amanda Heidi Lazos
• Gun Gil Lee, DDS
• William S. Leonard, DC
• Bradley Lester
• Kenneth Levin, MD
• Jeremy Marcell Lewis, LMT
• Alan Leo Liberman, DISPENSING OPTICIAN

• General Practice Dentistry in Desert Hot Springs, CA
• Providers in Desert Hot Springs, 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 Aug 4, 2026; 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.