Dr Sung Y Lee DMD a Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR SUNG Y LEE DMD A PROFESSIONAL CORPORATION

Practice address

828 W 6TH St
Corona, CA 92882-3237

Phone

(951) 736-0641

NPI assigned

Jul 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Sung Young Lee, DMD

Title

President

Phone

(951) 736-0641

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1962074997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 W 6TH ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823237",
            "telephone_number": "951-736-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 W 6TH ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823237",
            "telephone_number": "951-736-0641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928823237",
            "country_code": "US",
            "telephone_number": "951-736-0641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR SUNG Y LEE DMD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SUNG YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-736-0641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972643856",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul A. Downs, PHD
• Dr Dinora Guzman Psychologist Inc
• Dr Pamela Downie & Associates, Inc
• Dr Shahoveisi Inc
• Dr Stacey Le, OD a Professional Corp
• Dr. Amanda Peterson Chiropractic, PC
• Dr. Douglas T. Munroe, an Optometrist Corp.
• Dr. Jeffrey Crow Psychotherapist, Inc.
• Dr. Luu Telehealth Services
• Dr. Susan H. Lee D. D. S

• Dentist in Corona, CA
• Providers in Corona, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.