1558568527 NPI number — HONG AND LEE DENTAL CORPORATION

Table of content: (NPI 1558568527)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558568527 NPI number — HONG AND LEE DENTAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HONG AND LEE DENTAL CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1558568527
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/04/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 E VALENCIA MESA DR
Provider Second Line Business Mailing Address:
STE 102
Provider Business Mailing Address City Name:
FULLERTON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92835
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-992-5437
Provider Business Mailing Address Fax Number:
714-870-3085

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 E VALENCIA MESA DR
Provider Second Line Business Practice Location Address:
STE 102
Provider Business Practice Location Address City Name:
FULLERTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-992-5437
Provider Business Practice Location Address Fax Number:
714-870-3085
Provider Enumeration Date:
07/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LEE
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
SANG
Authorized Official Title or Position:
VP
Authorized Official Telephone Number:
714-992-5437

Provider Taxonomy Codes

  • Taxonomy code: 1223P0221X , with the licence number:  44807 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1223P0221X , with the licence number: 37335 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com