DR. LEE DUONG PHAM DDS, MD, MS
NPI 1386822971
Dentist - Oral and Maxillofacial Surgery in Los Alamitos, CA

Active since February 05, 2008PECOS Enrolled
4582 KATELLA AVE, LOS ALAMITOS, CA 90720(562) 598-4683(562) 598-4693 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lee Duong Pham Dds, Md, Ms NPPES

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

DR. LEE DUONG PHAM DDS, MD, MS (NPI 1386822971) is an individual oral and maxillofacial surgery provider in Los Alamitos, California, licensed in California (55453) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Irvine.

NPPES Registry Identity

NPI1386822971
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LEE DUONG PHAMCredential: DDS, MD, MS
Location Address4582 KATELLA AVELos Alamitos, CA 90720-2655
Mailing Address4582 Katella AveLos Alamitos, CA 90720-2655 · (562) 598-4683 · Fax (562) 598-4693
Fax(562) 598-4693
Sole ProprietorYes
Enumeration DateFebruary 5, 2008
Last NPPES UpdateApril 28, 2021
NPPES CertifiedApril 28, 2021
NPI 1386822971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 55453
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

4582 KATELLA AVE, Los Alamitos, CA 90720

Secondary Practice Location 1

Location 158 TesoroIrvine, CA 92618-0103 · Phone (310) 849-4690

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lee Duong Pham Dds, Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lee Pham's NPI number?

The NPI number for Lee Pham is 1386822971. It was assigned to this individual provider in the NPPES registry on February 5, 2008.

Where is Lee Pham located?

Lee Pham practices at 4582 Katella Ave, Los Alamitos, CA 90720. The listed phone number is (562) 598-4683.

What is Lee Pham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Lee Pham enrolled in Medicare?

Yes. Lee Pham is registered in the Medicare PECOS enrollment system.

What insurance does Lee Pham accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Lee Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lee Pham was last updated on April 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.