Organization Active NPI

Woo Yong Lee DDS Inc

  • Dental Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1790374791
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WOO YONG LEE DDS INC
Practice address
1728 N D St
San Bernardino, CA 92405-4418
Phone
(909) 886-0087
Fax
(909) 886-3533
NPI assigned
Jan 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Woo Yong Lee, DDSNPI 1992009963
Title
Ceo
Phone
(909) 663-4214

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 Primary

Addresses

Primary practice location

1728 N D St
San Bernardino, CA 92405-4418

Mailing address

1509 Blossom CT
Redlands, CA 92373-4901
Phone (909) 663-4214

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address woolee77@hotmail.com Direct

National Provider Directory

National Provider Directory

Locations

1728 N D St
Sn Bernrdno, CA 92405
Phone (909) 886-0087

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1790374791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 BLOSSOM CT",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734901",
            "telephone_number": "909-663-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054418",
            "telephone_number": "909-886-0087",
            "fax_number": "909-886-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOO YONG LEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WOO",
        "authorized_official_middle_name": "YONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-663-4214",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "woolee77@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1728 N D St",
            "city": "San Bernardino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "924054418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.