Ki Baek Lee Dds

LBN: Ki Lee Dental Corp.
Ki Baek Lee Dds is an health care organization with primary practice located at 11900 South St Ste 122 , Cerritos CA 90703-6800. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Ki Lee Dental Corp. can be contacted via phone (562) 809-6177, or through Lee, Ki Baek via phone (323) 880-3704.

Contact Information

Primary practice address
11900 South St Ste 122 Cerritos CA 90703-6800
Phone: (562) 809-6177
Fax: (562) 809-7659
Website:
Map and Directions
Authorized official contact:
Name: Lee, Ki Baek Doctor of Dental Surgery (DDS)
Phone: (323) 880-3704

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1699452821
LBN Legal business name Ki Lee Dental Corp.
DBA Doing business as Ki Baek Lee Dds
Authorized official Lee, Ki Baek Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 29th, 2023
Last updated Jul 5th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699452821 NPPES
California MEDICAID 1508373002

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