Individual provider Active NPI

Sung Young Lee, DMD

  • Dentist
  • Torrance, CA
National Provider Identifier
1972643856
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48310 Issued in CA
Practice address
1757 W Carson St
Suite E
Torrance, CA 90501
Phone
(310) 787-1233
Fax
(310) 787-1239
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 48310 CA Primary

Addresses

Primary practice location

1757 W Carson St
Suite E
Torrance, CA 90501

Mailing address

1757 W Carson St Ste E
Torrance, CA 90501-2828
Phone (310) 787-1233

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
I20160523001061 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153610688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48310CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sung Y. Lee DMD Inc Dentist CurrentSince Jan 19, 2020 Accepting new patients
Dental Group of Sung Y Lee DMD Inc Current Accepting new patients
Sung Y. Lee DMD Inc CurrentSince Dec 21, 2025 Accepting new patients
Ezydental Past Accepting new patients

Locations

1757 W Carson St
Ste E
Torrance, CA 90501
Phone (310) 787-1233

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1972643856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 W CARSON ST STE E",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012828",
            "telephone_number": "310-787-1233",
            "fax_number": "310-787-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 W CARSON ST",
            "address_2": "SUITE E",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90501",
            "telephone_number": "310-787-1233",
            "fax_number": "310-787-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SUNG YOUNG",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.