Joon Hee Lee Dmd A Professional Corp.
Clinic/Center, Dental in Pico Rivera, CA. Organization (NPI-2).
NPI number1588392005
StatusActive
Last updated in NPPESJan 16, 2023
Details
- NPI
- 1588392005
- Entity type
- Organization (NPI-2)
- Legal business name
- Joon Hee Lee Dmd A Professional Corp.
- Organization subpart
- No
- Enumeration date
- Aug 11, 2022
- Certification date
- Jan 16, 2023
- Last updated
- Jan 16, 2023
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 |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
9547 1/2 Telegraph RoadPico Rivera, CA 90660
Phone 562-222-3396 · Fax 562-222-3842
Mailing address
9547 1/2 Telegraph RoadPico Rivera, CA 90660
Phone 562-222-3396 · Fax 562-222-3842
Authorized official
Joon Hee Lee
President
5622223396
Is something wrong?
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