Sung Kyu Lee DDS INC
Dentist in Diamond Bar, CA. Organization (NPI-2).
NPI number1043764293
StatusActive
Last updated in NPPESJan 31, 2017
Details
- NPI
- 1043764293
- Entity type
- Organization (NPI-2)
- Legal business name
- Sung Kyu Lee DDS INC
- Organization subpart
- No
- Enumeration date
- Aug 4, 2016
- Last updated
- Jan 31, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 61684 | CA | Yes |
Practice location
2125 S Brea Canyon RdDiamond Bar, CA 91765-4019
Phone 213-308-1188
Mailing address
2125 S Brea Canyon RdDiamond Bar, CA 91765-4019
Phone 213-308-1188
Authorized official
Sung Kyu Lee
Dentist
2133081188
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