Soo Nam Lee, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

27786 Issued in CA

Practice address

3818 N Peck Road
Suite C
El Monte, CA 91732-2260

Phone

(626) 350-0944

NPI assigned

Aug 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

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.

• Soo Nam Lee DDS Inc

  • Dentist
  • El Monte, CA
  • NPI 1467642678
  Authorized official Same address or phone

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972514669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 N PECK ROAD",
            "address_2": "SUITE C",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322260",
            "telephone_number": "626-350-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 N PECK ROAD",
            "address_2": "SUITE C",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322260",
            "telephone_number": "626-350-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SOO",
        "middle_name": "NAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "27786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENT-CAL PROGRAM",
            "identifier": "B2778601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joo Hyun Lee, L.AC
• Justin Lee
• Kathy Lee
• Kevin K Lee, RPH
• Lap Man Lee
• Wayne Quang Lee, L.AC
• Hao Tong Lei, M.S., CCC-SLP
• Jose A. Leiro, D.C.
• Tatyana Marie Leon-Hernandez, LVN
• Jasmine Irene Leon

• Dentist in El Monte, CA
• Providers in El Monte, CA by specialty
• Dentist 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.