HYUNG JIN LEE (NPI# 1669997763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669997763 |
| Entity Type | Individual |
| Full Name | HYUNG JIN LEE |
| Practice Address |
35900 Bob Hope Dr Ste 110 Rancho Mirage CA 92270-1765 |
| Mailing Address |
24214 Khan Dr Loma Linda CA 92354-4877 |
| Practice Telephone | 7607704033 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2020-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
101651 | CA | Dental Providers |
| Street Address |
35900 BOB HOPE DR STE 110 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-1765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| 1952548786 | Steven Thomas Rivera | Dentist | 42-500 Bob Hope Drive, A, Rancho Mirage, CA 92270 | 2009-01-15 |
| 1366611568 | Mark Anthony Mobley | Dentist | 41592 Indian Trl, Rancho Mirage, CA 92270-5401 | 2008-02-21 |
| 1083893580 | Cabanas and Lee Dental Corporation | Dentist | 71817 Highway 111 Ste 1, Rancho Mirage, CA 92270-4487 | 2007-10-31 |
| 1528278488 | Mark A. Mobley, Dds, Prof. Corp. | Dentist | 41592 Indian Trl Ste A, Rancho Mirage, CA 92270-5401 | 2007-05-22 |
| 1164546172 | Mohender Narula | Dentist | 72027 Highway 111 Ste C, Rancho Mirage, CA 92270-4927 | 2007-03-16 |
| 1992831705 | Coulter Timothy Crowley | Dentist | 61 Avenida Las Palmas, Rancho Mirage, CA 92270-4677 | 2007-02-26 |
| 1356432298 | David Hayden Thompson | Dentist | 39700 Bob Hope Dr Ste 220, Rancho Mirage, CA 92270-7111 | 2006-09-27 |
| 1861592412 | Robert Joseph Karl, Jr. | Dentist | 42500 Bob Hope Dr, Ste. A, Rancho Mirage, CA 92270-4471 | 2006-09-24 |
| 1134124381 | Maria Caroline Aguilar | Dentist | 42501 Rancho Mirage Ln, Rancho Mirage, CA 92270-4312 | 2005-06-15 |
| Find all providers in RANCHO MIRAGE | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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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.