Won Koo Lee, is a
Dentist based in Sand City, California. Won Koo Lee is licensed to practice in California (license number 34367) and his current practice location is
2030 California Ave, Suite A, Sand City, California. He can be reached at his office (for appointments etc.) via phone at
(831) 393-1600.
NPI number for Won Koo Lee is 1750498358 and his current mailing address is 2030 California Ave, Suite A, Sand City, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750498358.
Healthcare Provider's Profile
| Full Name | Won Koo Lee |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
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| Location | 2030 California Ave, Sand City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750498358
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Won Koo Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750498358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 34367 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Won Koo Lee is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Won Koo Lee,
2030 California Ave, Suite A,
Sand City, CA 93955-3150
Ph: (831) 393-1600 | Won Koo Lee,
2030 California Ave, Suite A,
Sand City, CA 93955-3150
Ph: (831) 393-1600 |
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