Kang Ku Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33322 Issued in CA

Practice address

14435 Hamlin St
Suite 205
Van Nuys, CA 91401-6205

Phone

(818) 997-6300

Fax

(818) 997-6335

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kang K. Lee,DDS,Inc.

  • General Practice Dentistry
  • Van Nuys, CA
  • NPI 1477650125
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912004250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14435 HAMLIN ST",
            "address_2": "SUITE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016205",
            "telephone_number": "818-997-6300",
            "fax_number": "818-997-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 HAMLIN ST",
            "address_2": "SUITE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016205",
            "telephone_number": "818-997-6300",
            "fax_number": "818-997-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KANG",
        "middle_name": "KU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee C. Rogers, D.P.M., Inc.
• Alexander Brandon Lee, PT
• David Young Lee, M.D.
• Hsingyee Lee, M.D.
• James Lee
• Myung Hoon Lee, MD
• Nathan Lee, DMD
• Ray Lee
• Robert K Lee, M.D.
• Simon Yoon Lee

• General Practice Dentistry in Van Nuys, CA
• Providers in Van Nuys, 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 Jul 8, 2007; 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.