Brian S. Lee, DDS, INC.
Dentist, General Practice in Hawthorne, CA. Organization (NPI-2).
NPI number1689112286
StatusActive
Last updated in NPPESFeb 3, 2017
Details
- NPI
- 1689112286
- Entity type
- Organization (NPI-2)
- Legal business name
- Brian S. Lee, DDS, INC.
- Organization subpart
- No
- Enumeration date
- Feb 3, 2017
- Last updated
- Feb 3, 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 |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 60173 | CA | Yes |
Practice location
14221 Inglewood AveHawthorne, CA 90250-6729
Phone 310-675-4929
Mailing address
9432 Garden Grove BlvdGarden Grove, CA 92844-1453
Phone 714-537-5350
Authorized official
Brian S Lee
President
9497989591
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