CHANG RYUL LEE
NPI 1225640774
Dentist - General Practice in Los Angeles, CA

Active since August 17, 2020
2805 S SAN PEDRO ST, LOS ANGELES, CA 90011(323) 846-8443 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 26, 2020, Aug 22, 2020 (2 updates tracked since 2020).

About Chang Ryul Lee NPPES

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

CHANG RYUL LEE (NPI 1225640774) is an individual general practice provider in Los Angeles, California, licensed in California (105258) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1225640774
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCHANG RYUL LEE
Location Address2805 S SAN PEDRO STLos Angeles, CA 90011-2023
Mailing Address953 Elden Ave Apt 113Los Angeles, CA 90006-5795 · (213) 235-7853
Sole ProprietorYes
Enumeration DateAugust 17, 2020
Last NPPES UpdateAugust 26, 20202 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
NPI 1225640774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 105258
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2805 S SAN PEDRO ST, Los Angeles, CA 90011

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2805 S SAN PEDRO ST
LOS ANGELES, CA 90011
Dentist (General Practice)
2805 S SAN PEDRO ST
LOS ANGELES, CA 90011
Dentist
2805 S SAN PEDRO ST
LOS ANGELES, CA 90011
Dentist (General Practice)
2805 S SAN PEDRO ST
LOS ANGELES, CA 90011
Dentist (General Practice)
2805 S SAN PEDRO ST
LOS ANGELES, CA 90011
Dentist
2805 S SAN PEDRO ST
LOS ANGELES, CA 90011

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 Chang Ryul Lee's NPI number?

The NPI number for Chang Ryul Lee is 1225640774. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Chang Ryul Lee located?

Chang Ryul Lee practices at 2805 S San Pedro St, Los Angeles, CA 90011. The listed phone number is (323) 846-8443.

What is Chang Ryul Lee's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Chang Ryul Lee was last updated on August 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.