Gary William Doo Lee, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DG30731 Issued in CA

Practice address

1414 S Grand Ave Ste 485
Los Angeles, CA 90015-3076

Phone

(213) 744-1752

NPI assigned

Sep 27, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: gary.lee.1@26356.direct.athenahealth.com

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1932290863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 OAK VIEW LN",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910061621",
            "telephone_number": "626-592-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE STE 485",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153076",
            "telephone_number": "213-744-1752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21660 E. Copley Drive",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "917654176",
            "country_code": "US",
            "telephone_number": "909-861-2331",
            "fax_number": "909-861-7873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "GARY",
        "middle_name": "WILLIAM DOO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DG30731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DG30731",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicity Jieun Lee, ASW I
• Fred A Lee, MD
• Ga Young Lee
• Gabrielle Lee
• Garrett Lee
• Gene Lee
• Gene Kyu Lee, MD, MPH
• George C Lee Jr., M.D.
• Gerald Lee
• Gerald J Lee

• 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 Dec 15, 2022; 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.