Organization Active NPI

Byung Wook Lee D.D.S. Inc

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1740023597
Registry record updated Aug 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BYUNG WOOK LEE D.D.S. INC
Practice address
555 S Western Ave Ste 208
Los Angeles, CA 90020-4270
Phone
(323) 766-0662
NPI assigned
Jun 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2024

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

Authorized official

Name
Jeong Lee
Title
Secretary
Phone
(323) 766-0662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

555 S Western Ave Ste 208
Los Angeles, CA 90020-4270

Mailing address

555 S Western Ave Ste 208
Los Angeles, CA 90020-4270
Phone (323) 766-0662

National Provider Directory

National Provider Directory

Locations

555 S Western Ave
Ste 208
Los Angeles, CA 90020
Phone (213) 365-2363

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": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722643200000",
    "number": "1740023597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S WESTERN AVE STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900204270",
            "telephone_number": "323-766-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S WESTERN AVE STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900204270",
            "telephone_number": "323-766-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYUNG WOOK LEE D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEONG",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "323-766-0662"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 3, 2024; 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.