Active NPI
Jin Kyu Lee DDS Inc
- Dental Clinic/Center
- Huntington Park, CA
National Provider Identifier
1841761335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- JIN KYU LEE DDS INC
- Practice address
- 7221 Pacific Blvd
Huntington Park, CA 90255-5734 - Phone
- (323) 585-7777
- NPI assigned
- Dec 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jin Kyu Lee, DDS
- Title
- Owner / Ceo / President
- Phone
- (323) 585-7777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
7221 Pacific Blvd
Huntington Park, CA 90255-5734
Mailing address
7221 Pacific Blvd
Huntington Park, CA 90255-5734
Phone (323) 585-7777
National Provider Directory
National Provider DirectoryLocations
7221 Pacific Blvd
Huntington Park, CA 90255
Phone (323) 585-7773
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Barstow, CA
- NPI 1033583992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544400000000",
"number": "1841761335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7221 PACIFIC BLVD",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902555734",
"telephone_number": "323-585-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7221 PACIFIC BLVD",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902555734",
"telephone_number": "323-585-7777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JIN KYU LEE DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-10",
"last_updated": "2018-12-10",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JIN",
"authorized_official_middle_name": "KYU",
"authorized_official_title_or_position": "OWNER / CEO / PRESIDENT",
"authorized_official_telephone_number": "323-585-7777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.