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WONJOON LEE DDS INC NPI 1134662760


NPI Information

NPI: 1134662760
Provider Name: WONJOON LEE, DDS, INC

Doing Business As: HOUSE DENTAL, SOUTH GATE

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
8617 CALIFORNIA AVE
SOUTH GATE, CA
ZIP 90280
Phone: (323) 484-9599
Get Directions

WONJOON LEE, DDS, INC is a preferred provider organization in South Gate, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. WONJOON LEE, DDS, INC NPI is 1134662760. The provider is registered as an organization entity type.
The provider Is Doing Business As House Dental, South Gate.

The provider's business location address is:

8617 CALIFORNIA AVE
SOUTH GATE, CA
ZIP 90280-003
Phone: (323) 484-9599

The provider's authorized official is Wonjoon Lee .
The authorized official title is Owner and has the following contact phone number (323) 484-9599.

The enumeration date for this NPI number is 11/30/2016 and was last updated on 11/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization64812CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.