Mary Yongsun Lee, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS101362 Issued in CA

Practice address

1423 E Gage Ave Ste a
Los Angeles, CA 90001-1771

Phone

(267) 467-6404

NPI assigned

Mar 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523750400000",
    "number": "1780001511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 WILSHIRE BLVD APT 409",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 E GAGE AVE STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900011771",
            "telephone_number": "267-467-6404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4149 Tweedy Blvd Ste J",
            "address_purpose": "LOCATION",
            "city": "South Gate",
            "state": "CA",
            "postal_code": "902806167",
            "country_code": "US",
            "telephone_number": "267-467-6404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Horizon Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Chalfont",
            "state": "PA",
            "postal_code": "189143966",
            "country_code": "US",
            "telephone_number": "267-467-6404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MARY",
        "middle_name": "YONGSUN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2018-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039935",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS101362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Lee, MD
• Mariana Lee
• Marilyn Lee, NP-C (NURSE PRACTITI
• Marissa Minna Lee, LCSW
• Marvin C. Lee, D.C.
• Matthew Lee, ATC
• Matthew Lee, MD
• Matthew K Lee, M.D.
• May M Lee, M.D.
• Mee Suk Lee, M.A.,R.D

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Apr 15, 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.