Lee, Kang Yul

Lee, Kang Yul is an individual health care provider with primary practice located at 2180 Lake Tahoe Blvd. Ste #5, South Lake Tahoe CA 96150. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lee, Kang Yul can be contacted via phone (530) 541-8229.

Contact Information

Primary practice address
2180 Lake Tahoe Blvd. Ste #5 South Lake Tahoe CA 96150
Phone: (530) 541-8229
Fax: (530) 541-8964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 45130 California
Dental Providers / General Practice 1223G0001X 4897T Nevada

Profile Details

NPI number 1861567349
LBN Legal business name Lee, Kang Yul
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Aug 6th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861567349 NPPES
California MEDICAID G91956

Popular Providers