| Ju Young Lee Dds Inc | |
|
2500 W 8th St 106 Los Angeles CA 90057-3860 | |
| (213) 381-2827 | |
| (213) 381-2829 |
| Full Name | Ju Young Lee Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 2500 W 8th St, Los Angeles, California |
| Authorized Official Name and Position | Ju Young Lee (DENTIST) |
| Authorized Official Contact | 7148178345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ju Young Lee Dds Inc 2500 W 8th St 106 Los Angeles CA 90057-3860 Ph: (213) 381-2827 | Ju Young Lee Dds Inc 2500 W 8th St 106 Los Angeles CA 90057-3860 Ph: (213) 381-2827 |
| NPI Number | 1407380025 |
|---|---|
| Provider Enumeration Date | 04/20/2017 |
| Last Update Date | 04/20/2017 |
| Medicare PECOS PAC ID | 7719249614 |
|---|---|
| Medicare Enrollment ID | O20180312001841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407380025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 61258 (California) | Primary |
| Provider Name | Ju-young Lee |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1861402737 PECOS PAC ID: 9638475486 Enrollment ID: I20180402000557 |
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