Organization Active NPI

Jongwook Lee DDS Inc

  • Dentist
  • Torrance, CA
National Provider Identifier
1710375837
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53714 Issued in CA
Legal business name
JONGWOOK LEE DDS INC
Practice address
3226 Sepulveda Blvd
Torrance, CA 90505-2719
Phone
(310) 530-2875
Fax
(310) 981-2828
NPI assigned
Dec 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Dr. Jongwook Lee, D.D.S
Title
Owner/President
Phone
(310) 530-2875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 53714 CA Primary

Addresses

Primary practice location

3226 Sepulveda Blvd
Torrance, CA 90505-2719

Mailing address

3226 Sepulveda Blvd
Torrance, CA 90505-2719
Phone (310) 530-2875

National Provider Directory

National Provider Directory

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": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1710375837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052719",
            "telephone_number": "310-530-2875",
            "fax_number": "310-981-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052719",
            "telephone_number": "310-530-2875",
            "fax_number": "310-981-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONGWOOK LEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONGWOOK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-530-2875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.