Shauna R. Lee, DDS Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

39030 Issued in CA

Legal business name

SHAUNA R. LEE, DDS DENTAL CORPORATION

Practice address

4146 E Olympic Blvd Ste F
Los Angeles, CA 90023-3347

Phone

(323) 269-8007

Fax

(323) 269-2720

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Shauna R. Lee, DDSNPI 1285711556

Title

Ceo

Phone

(323) 269-8007

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shauna R. Lee, D.D.S.

  • Dentist
  • Los Angeles, CA
  • NPI 1285711556
  NPD (past) Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1851884886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 E OLYMPIC BLVD STE F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900233347",
            "telephone_number": "323-269-8007",
            "fax_number": "323-269-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 E OLYMPIC BLVD STE F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900233347",
            "telephone_number": "323-269-8007",
            "fax_number": "323-269-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUNA R. LEE, DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-269-8007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "39030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Padmapriya Shastri, DDS
• Maya Sara Shats, MD
• Shatto Street
• Connor David Shatz, MD
• Elizabeth Shatzkin, BA, MA, MFT
• Gina Maria Shaunette, O.D.
• Ester Shavalian
• Jessica Shavalian
• Jordan S Shavalian
• Shaw DDS Dental Corporation

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

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