Organization Active NPI

Jin Kyu Lee DDS Inc

  • Dental Clinic/Center
  • Huntington Park, CA
National Provider Identifier
1841761335
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Dec 10, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.