JAE YONG LEE DENTAL CORP
NPI 1053743880
Clinic/Center - Dental in La Canada, CA

Active since August 02, 2013
4924 CARMEL RD, LA CANADA, CA 91011(213) 210-3291 Get Directions Write a Review

NPPES record last updated: August 2, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jae Yong Lee Dental Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAE YONG LEE DENTAL CORP (NPI 1053743880) is a healthcare organization registered as a dental in La Canada, California and active in the NPI registry since August 2013. The organization lists Jae Yong Lee, President, as its authorized official.

NPPES Registry Identity

NPI1053743880
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJAE YONG LEE DENTAL CORP
Location Address4924 CARMEL RDLa Canada, CA 91011-2711
Mailing Address4924 Carmel RdLa Canada, CA 91011-2711 · (213) 210-3291
Organization SubpartNo
Authorized OfficialJae Yong LeePresident · (213) 210-3291
Enumeration DateAugust 2, 2013
NPI 1053743880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in CA · 47932
4924 CARMEL RD, La Canada, CA 91011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jae Yong Lee Dental Corp's NPI number?

The NPI number for Jae Yong Lee Dental Corp is 1053743880. It was assigned to this organization in the NPPES registry on August 2, 2013.

Where is Jae Yong Lee Dental Corp located?

Jae Yong Lee Dental Corp is located at 4924 Carmel Rd, La Canada, CA 91011. The listed phone number is (213) 210-3291.

What is Jae Yong Lee Dental Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jae Yong Lee Dental Corp was last updated on August 2, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.