Organization Active NPI

Yong Hee Lee DDS Inc

  • Dental Clinic/Center
  • Victorville, CA
National Provider Identifier
1780102939
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
64834 Issued in CA
Legal business name
YONG HEE LEE DDS INC
Practice address
12611 Hesperia Rd Ste C
Victorville, CA 92395-8307
Phone
(760) 243-4366
NPI assigned
Sep 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Yong Hee Lee, DDSNPI 1760858153
Title
Ceo
Phone
(909) 569-8454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 64834 CA Primary

Addresses

Primary practice location

12611 Hesperia Rd Ste C
Victorville, CA 92395-8307

Mailing address

12611 Hesperia Rd Ste C
Victorville, CA 92395-8307
Phone (760) 243-4366

Other practice location 1

11185 Florence Ln
Loma Linda, CA 92354-6562
Phone (909) 569-8454

Other practice location 2

11185 Florence Ln
Loma Linda, CA 92354-6562
Phone (909) 569-8454

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1780102939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12611 HESPERIA RD STE C",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958307",
            "telephone_number": "760-243-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 HESPERIA RD STE C",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958307",
            "telephone_number": "760-243-4366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11185 Florence Ln",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923546562",
            "country_code": "US",
            "telephone_number": "909-569-8454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11185 Florence Ln",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923546562",
            "country_code": "US",
            "telephone_number": "909-569-8454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YONG HEE LEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "YONG HEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-569-8454",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.