DR. SUSAN MOON LEE (NPI# 1477074813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477074813 |
| Entity Type | Individual |
| Full Name | DR. SUSAN MOON LEE |
| Credential | DDS |
| Practice Address |
7540 Orangethorpe Ave Ste A1 Buena Park CA 90621 |
| Mailing Address |
1141 Fairview Ave Unit A Arcadia CA 91007-7047 |
| Practice Telephone | 7145762540 |
| Mailing Telephone | 6264193713 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2019-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 101511 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
101511 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17188 Colima Rd Ste B, Hacienda Heights, CA 917456787 | 6265817878 | |
| 4026 W Olympic Blvd, Los Angeles, CA 900193257 | 3237322828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811534878 | Susan Lee | Pharmacist | 9362 Canterbury Ln, Garden Grove, CA 92841-3415 | 2019-12-09 |
| 1003230657 | Susan Lee | Social Worker | 12086 Ft.caroline Rd Suite 401, Jacksonville, FL 32225-1536 | 2014-02-18 |
| 1134564453 | Susan Ming Lee | Anesthesiology | 521 Parnassus Ave Rm C455, Box 0648, San Francisco, CA 94143-2206 | 2013-04-30 |
| 1144453267 | Susan S Lee | Student in an Organized Health Care Education/Training Program | 1700 Oak Ave Ste 7, Muskegon, MI 49442-2407 | 2009-08-25 |
| 1740422724 | Susan Lee | Physical Therapist | 1709 Avenue X, Brooklyn, NY 11235-3531 | 2009-04-06 |
| 1417195017 | Susan Lee | Dentist | 618 W Jones St, Suite 104, Raleigh, NC 27603-1409 | 2009-02-04 |
| 1497993083 | Susan I Lee | Speech-Language Pathologist | 44444 Paul's Crossing Rd., Richfield, NC 28137 | 2009-02-04 |
| 1194979054 | Susan Elaine Lee | Nurse Practitioner | 555 Convention Center Boulevard, New Orleans, LA 70115-1649 | 2008-11-05 |
| 1710147822 | Susan Jane Lee | Physical Therapist | 5645 Saint Claire Way, Citrus Heights, CA 95621-7339 | 2008-06-11 |
| 1992975957 | Susan Jung Lee | Family Medicine | 27231 La Paz Rd Ste A, Laguna Niguel, CA 92677-3627 | 2008-03-06 |
| Street Address |
7540 ORANGETHORPE AVE STE A1 |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023515558 | Swati Shetty Dental Corporation | Dentist | 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621-3458 | 2018-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756780 | Jung Hee Lee Kim | Acupuncturist | 6881 Stanton Ave. #f, Buena Park, CA 90621 | 2020-10-08 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1275197733 | Adrian Acosta Dds, A Professional Dental Corporation | Dentist | 4600 Beach Blvd Ste A, Buena Park, CA 90621 | 2019-04-30 |
| 1568965499 | Lasik Eyecare Medical Corporation | Ophthalmology | 5832 Beach Blvd. Suite No. 109 B, Buena Park, CA 90621 | 2018-03-16 |
| 1144743857 | Angel Gabriel Castillo Israel | Nurse Practitioner | 6915 Faculty Circle Apt. D, Buena Park, CA 90621 | 2017-07-25 |
| 1083149637 | Jung Ae Lee | Acupuncturist | 6881 Stanton Avenue, Suite C1, Buena Park, CA 90621 | 2017-04-20 |
| 1528502648 | Boung Kim I | Dentist | 8754 Garden Grove Bld, Garden Grove, CA 90621 | 2016-12-08 |
| 1689116550 | Sara Park | Acupuncturist | 4600 Beach Blvd, Suite M, Buena Park, CA 90621 | 2016-11-09 |
| 1548710783 | Hey Lee | Student in an Organized Health Care Education/Training Program | 7212 Orangeorpe Ave #8, Buena Park, CA 90621 | 2016-10-12 |
| 1306392618 | Arrowhead Regional Medical Center | General Acute Care Hospital | 6915 Faculty Circle, Apt D, Buena Park, CA 90621 | 2016-08-28 |
| Find all providers in zip 90621 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275197733 | Adrian Acosta Dds, A Professional Dental Corporation | Dentist | 4600 Beach Blvd Ste A, Buena Park, CA 90621 | 2019-04-30 |
| 1235696071 | Soo Yeon Chung | Dentist | 5832 Beach Blvd Unit 202, Buena Park, CA 90621-5501 | 2019-02-28 |
| 1356820880 | Yejin Kim | Dentist | 8190 Cachuma Cir, Buena Park, CA 90621-1354 | 2018-08-06 |
| 1053831396 | Foroutan Dental Corp | Dentist | 8951 Knott Ave Ste L, Buena Park, CA 90620-4108 | 2017-06-27 |
| 1205229614 | Goodman Maa Dds | Dentist | 8654b On The Mall # 154b, Buena Park, CA 90620-3232 | 2015-03-09 |
| 1922403815 | Jaeeun Jeong | Dentist | 5258 Beach Blvd Ste A, Buena Park, CA 90621-1276 | 2014-11-04 |
| 1063849180 | Oliver Silvestre Cruz | Dentist | 5825 Lincoln Ave Ste H, Buena Park, CA 90620-3477 | 2013-10-03 |
| 1912248832 | Young R. Kim, Dds, Inc | Dentist | 5300 Beach Blvd., #109, Buena Park, CA 90621-1291 | 2013-03-04 |
| 1457600330 | Daniel D. Chung Dds Inc | Dentist | 8884 Knott Ave., Buena Park, CA 90620 | 2012-09-06 |
| 1679848733 | Amit J Desai | Dentist | 8224 Joshua Cir, Buena Park, CA 90620-4038 | 2012-03-21 |
| Find all providers in BUENA PARK | ||||
| City | BUENA PARK |
| Zip Code | 90621 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.