Jae Yong Lee is a Dentist in Los Angeles, California. Jae Yong Lee practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jae Yong Lee is 1174646632. The last update date is 2016-01-26.
Jae Yong Lee's current location address is 505 S. Virgil Ave., Los Angeles, California. You can contact this provider via phone number 2133820022 and fax number 2133820020. The mailing address for Jae Yong Lee is 505 S. Virgil Ave., Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jae Yong Lee |
|---|---|
| Address | 505 S. Virgil Ave., Los Angeles, California |
| Phone Number | 2133820022 |
| Fax Number | 2133820020 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1174646632 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2016-01-26 |
Provider Mailing Address Detail
| Address | 505 S. Virgil Ave. |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 90020 |
| Phone Number | 2133820022 |
| Fax Number | 2133820020 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 47932 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Jae Yong Lee by the Centers for Medicare & Medicaid Services?
The Jae Yong Lee has been issued the NPI (National Provider Identifier) 1174646632. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jae Yong Lee is located?
The Jae Yong Lee is situated at the following address: 505 S. Virgil Ave., Los Angeles, CA, 90020.
What is Jae Yong Lee's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jae Yong Lee is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did Jae Yong Lee receive its 1174646632 assignment from the Centers for Medicare & Medicaid Services?
The Jae Yong Lee was assigned its 1174646632 on 2007-04-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jae Yong Lee's information last updated?
The Jae Yong Lee's information was last updated on 2016-01-26.