NPIMap

Organization Active NPI

Yun S Lee DDS. Inc

Doing business as Wilshire Cosmetics & Implant Dental Group

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1710481304
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53238 Issued in CA
Legal business name
YUN S LEE DDS. INC
Doing business as
Wilshire Cosmetics & Implant Dental Group
Practice address
3550 Wilshire Blvd.
Suite 835
Los Angeles, CA 90010
Phone
(213) 251-0066
Fax
(213) 380-8228
NPI assigned
Mar 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
June Ju
Title
Office Manager
Phone
(213) 251-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 53238 CA Primary

Addresses

Primary practice location

3550 Wilshire Blvd.
Suite 835
Los Angeles, CA 90010

Mailing address

3550 Wilshire Blvd.
Suite 835
Los Angeles, CA 90010
Phone (213) 251-0066

Other names 1

  • Wilshire Cosmetics & Implant Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wilshire Cosmetic Implant Dentistry Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3550 Wilshire Blvd
Ste 835
Los Angeles, CA 90010
Phone (213) 251-0066

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": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1710481304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 WILSHIRE BLVD.",
            "address_2": "SUITE 835",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90010",
            "telephone_number": "213-251-0066",
            "fax_number": "213-380-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 WILSHIRE BLVD.",
            "address_2": "SUITE 835",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90010",
            "telephone_number": "213-251-0066",
            "fax_number": "213-380-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUN S LEE DDS. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "JU",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "213-251-0066"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilshire Cosmetics & Implant Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilshire Cosmetics & Implant Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 20, 2018; 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.