Raymond Lee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

034365 Issued in CA

Practice address

4522 Indianola Way
La Canada, CA 91011-3350

Phone

(818) 790-2778

Fax

(818) 790-1875

NPI assigned

Dec 5, 2006

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992863278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 INDIANOLA WAY",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113350",
            "telephone_number": "818-790-2778",
            "fax_number": "818-790-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 INDIANOLA WAY",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113350",
            "telephone_number": "818-790-2778",
            "fax_number": "818-790-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RAYMOND",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "034365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Eva Leal, M.D.
• Benjamin Leddick, AMFT
• Heather Marsena-Trani Leddick, AMFT
• David Jin Lee, D.O.
• Gloria L. Lee, MFT
• Life Surgical Oncology, PC
• Miyoung Lim
• Soo Hyun Lim, D.M.D
• Vicky W Ling, PHARMD
• Gregory Lizer, MD

• General Practice Dentistry in La Canada, CA
• Providers in La Canada, CA by specialty
• General Practice Dentistry 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.