Donghee Lee D.D.S. Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DONGHEE LEE D.D.S. INC.

Doing business as

Olympic Dental Center

Practice address

2655 W Olympic Blvd Ste 206
Los Angeles, CA 90006-2800

Phone

(213) 385-4011

Fax

(213) 947-4623

NPI assigned

Mar 1, 2021

Organization subpart

No

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

Authorized official

Name

Donghee Lee, DDSNPI 1831668961

Title

Dentist

Phone

(213) 385-4011

Specialties & licenses 1

Addresses

Other names 1

• Olympic Dental Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donghee Lee, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1831668961
  NPD Authorized official
• Jae Jin Lee, DDS

  • Dentist
  • Santa Maria, CA
  • NPI 1982734364
  NPD (past)

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1811582968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 W OLYMPIC BLVD STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062800",
            "telephone_number": "213-385-4011",
            "fax_number": "213-947-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 W OLYMPIC BLVD STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062800",
            "telephone_number": "213-385-4011",
            "fax_number": "213-947-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONGHEE LEE D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DONGHEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "213-385-4011",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yan Dong
• Kristel Padua Dongallo, NP
• Dongeun Inc
• Dongguk Royal University
• Dongguk University Los Angeles
• Katherine Marie Donhauser, PA-C
• Keaton Doniger
• Alana Donis
• Natalie Andrea Donis
• Rayza Ximena Donis, LCSW 74322

• 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 Mar 1, 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.