KI LEE DENTAL CORP. NPI 1699452821

NPI Information

  • NPI: 1699452821
  • Provider Name: KI LEE DENTAL CORP.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: KI BAEK LEE DDS
  • Address: 11900 SOUTH ST STE 122
    CERRITOS, CA
    ZIP 90703
  • Phone: (562) 809-6177

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NPI Details

KI LEE DENTAL CORP. is a general practice dentist in Cerritos, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KI LEE DENTAL CORP. NPI is 1699452821. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ki Baek Lee Dds.

The provider's business location address is:

11900 SOUTH ST STE 122
CERRITOS, CA
ZIP 90703-800
Phone: (562) 809-6177
Fax: (562) 809-7659

The provider's authorized official is Ki Baek Lee .
The authorized official title is Dentist and has the following contact phone number (323) 880-3704.

The enumeration date for this NPI number is 6/29/2023 and was last updated on 7/5/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11508373002MEDICAIDCALIFORNIA

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: 11/21/2025

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