So Yeon Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64253 Issued in CA

Practice address

820 Locust St
#3013
Pasadena, CA 91101-5611

Phone

(310) 999-2196

Fax

(323) 477-2139

NPI assigned

Jan 12, 2015

Last updated

Jan 19, 2017By the provider in NPPES

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

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1730578923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 LOCUST ST",
            "address_2": "#3013",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015611",
            "telephone_number": "310-999-2196",
            "fax_number": "323-477-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 LOCUST ST",
            "address_2": "#3013",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015611",
            "telephone_number": "310-999-2196",
            "fax_number": "323-477-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SO YEON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-12",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Szuhui Lee, LCSW
• Sang Kun Lee, PHD, L.AC.
• Sangeun Lee
• Sangwon Lee
• Siu Kwan Cherry Lee, MA, BCBA
• Stephanie Pui Ning Lee, DDS
• Susie Lee, LMFT
• Thomas G. Lee, BA
• Tracy E. Lee
• Warren Christopher Lee, MD, MHS

• General Practice Dentistry in Pasadena, CA
• Providers in Pasadena, 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 Jan 19, 2017; 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.