Active NPI
Wonjoon Lee, DDS
- Dentist
- Bellflower, CA
National Provider Identifier
1932559713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 68412
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240823002739 | CA | Practitioner - Oral Surgery | 0941749717 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68412 | CA | MD | Mental Health Counselor |
| 64812 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew Lymn DDS Inc | Current | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Bellflower, CA
- NPI 1770320376
-
- Dental Clinic/Center
- Bellflower, CA
- NPI 1982341970
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.