DR. EUNSUN LEW DDS
NPI 1710095344
Dentist in San Marino, CA

Q: What is Eunsun Lew's NPI number?

The NPI number for Eunsun Lew is 1710095344. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Q: What is Eunsun Lew's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Eunsun Lew was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 25, 2006PECOS Enrolled

1500 GARFIELD AVE, SAN MARINO, CA 91108(626) 403-5048(626) 403-5048 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Eunsun Lew Dds NPPES

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

DR. EUNSUN LEW DDS (NPI 1710095344) is an individual dentist in San Marino, California, licensed in California (48476) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710095344

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. EUNSUN LEWCredential: DDS

Location Address1500 GARFIELD AVESan Marino, CA 91108-2324

Mailing Address530 S Main StOrange, CA 92868-4525 · (360) 690-6581

Phone(626) 403-5048

Fax(626) 403-5048

Sole ProprietorNo

Enumeration DateAugust 25, 2006

Last NPPES UpdateOctober 10, 2014

✔ NPI 1710095344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 48476

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1500 GARFIELD AVE, San Marino, CA 91108

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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. Eunsun Lew Dds 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 91108 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 Eunsun Lew's NPI number?

The NPI number for Eunsun Lew is 1710095344. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Eunsun Lew located?

Eunsun Lew practices at 1500 Garfield Ave, San Marino, CA 91108. The listed phone number is (626) 403-5048.

What is Eunsun Lew's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Eunsun Lew enrolled in Medicare?

Yes. Eunsun Lew is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eunsun Lew was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.