Individual provider Active NPI

Wonjoon Lee, DDS

  • Dentist
  • Bellflower, CA
National Provider Identifier
1932559713
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
68412 Issued in CA
Practice address
9951 Artesia PL
Bellflower, CA 90706-6757
Phone
(562) 866-6914
Fax
(562) 866-5974
NPI assigned
Jun 13, 2016
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 68412 CA Primary

Addresses

Primary practice location

9951 Artesia PL
Bellflower, CA 90706-6757

Mailing address

3283 Quartz Cir
Corona, CA 92882-6096

Other practice location 1

5517 Paseo Del Lago E Unit 1G
Laguna Woods, CA 92637-7303
Phone (951) 870-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240823002739 CA Practitioner - Oral SurgeryPractitioner - Dentist 0941749717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68412CAMDMental Health Counselor
64812CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Lymn DDS Inc CurrentSince Feb 11, 2024 Accepting new patients

Locations

9951 Artesia Pl
Bellflower, CA 90706
Phone (562) 287-2788

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1932559713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3283 QUARTZ CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928826096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 ARTESIA PL",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066757",
            "telephone_number": "562-866-6914",
            "fax_number": "562-866-5974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5517 Paseo Del Lago E Unit 1G",
            "address_purpose": "LOCATION",
            "city": "Laguna Woods",
            "state": "CA",
            "postal_code": "926377303",
            "country_code": "US",
            "telephone_number": "951-870-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "WONJOON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "68412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.