JONG MOON LEE (NPI# 1780221101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780221101 |
| Entity Type | Individual |
| Full Name | JONG MOON LEE |
| Credential | D.D.S. |
| Practice Address |
1108 So. Diamond Bar Blvd. Diamond Bar Diamond Bar CA 91765 |
| Mailing Address |
1108 So. Diamond Bar Blvd Diamond Bar CA 91765 |
| Practice Telephone | 9098614444 |
| Practice Fax Number | 9098619654 |
| Mailing Telephone | 9098614444 |
| Mailing Fax Number | 9098619654 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
27324 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811427941 | Jong M Lee | Acupuncturist | 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 | 2017-06-12 |
| 1427423870 | Jong Tai Lee | Acupuncturist | 148 Casuda Canyon Dr, F, Monterey Park, CA 91754-2234 | 2015-12-10 |
| 1235577438 | Jong Hwa Lee | Acupuncturist | 317 W Cheltenham Ave, Melrose Park, PA 19027-3310 | 2013-06-10 |
| 1124305057 | Jong S Lee | Dentist | 4855 River Green Pkwy Ste 110, Duluth, GA 30096-8333 | 2011-11-06 |
| 1497075899 | Jong Chul Lee | Pharmacist | 1050 N Mountain Ave, Rite Aid, Ontario, CA 91762-2114 | 2010-06-08 |
| 1942470703 | Jong Jin Lee | Pharmacist | 237b Columbus Ave, Palisades Park, NJ 07650-1105 | 2008-03-08 |
| 1245417989 | Jong K Lee | Chiropractor | 1019 S Arlington Heights Rd, Arlington Heights, IL 60005-3138 | 2008-01-24 |
| 1205915444 | Jong Min Lee | Podiatrist | 4605 Frankford Ave, Philadelphia, PA 19124-5803 | 2006-11-06 |
| 1548363492 | Jong In Lee | Pediatrics | 5471 La Palma Ave Ste 205, La Palma, CA 90623-1733 | 2006-09-06 |
| 1619915923 | Jong K Lee | Family Medicine | 4605 A Pinecrest Office, Alexandria, VA 22312 | 2006-06-02 |
| Street Address |
1108 SO. DIAMOND BAR BLVD. DIAMOND BAR |
| City | DIAMOND BAR |
| State | CA |
| Zip Code | 91765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354839 | American Fertility Medical Center Corporation | Clinic/Center | 1370 Valley Vista Dr Suite 135, Diamond Bar, CA 91765 | 2019-12-26 |
| 1740741271 | Dr Doshi Dds Dental Corporation | Dentist | 3209 S Brea Canyon Road Suite #f, Diamond Bar, CA 91765 | 2019-03-27 |
| 1669998423 | Justin Leopoldo Lopez | Behavior Technician | 3230 Fallow Field Dr., Diamond Bar, CA 91765 | 2017-08-14 |
| 1295258564 | Chino Care Inc. | Clinic/Center | 5402 Philadelphia St., Suite C, Chino, CA 91765 | 2017-07-19 |
| 1962942292 | Sonia Wurtenberger | Marriage & Family Therapist | 21660 Copley Drive, Suite 210, Diamond Bar, CA 91765 | 2017-03-06 |
| 1225575863 | Swapnaja M Honnakore | Speech-Language Pathologist | 706 N. Diamond Bar Blvd, B2, Diamond Bar, CA 91765 | 2017-01-20 |
| 1659816106 | Transit Solutions | Non-emergency Medical Transport (VAN) | 23545 Palomino Dr., 518, Diamond Bar, CA 91765 | 2016-12-19 |
| 1316498215 | Rite Aid | Pharmacy | 2059 S Garey Avenue, Pomona, CA 91765 | 2016-10-17 |
| 1104372978 | Marie Claude Dor | Registered Nurse | 2704 Castle Rock Road, Diamond Bar, CA 91765 | 2016-08-31 |
| 1790238962 | Aadil Abowath | Specialist | 1304 S Diamond Bar Blvd Unit C, Diamond Bar, CA 91765 | 2016-07-25 |
| Find all providers in zip 91765 | ||||
| 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 |
|---|---|---|---|---|
| 1740741271 | Dr Doshi Dds Dental Corporation | Dentist | 3209 S Brea Canyon Road Suite #f, Diamond Bar, CA 91765 | 2019-03-27 |
| 1326544453 | Rishi Bhatt | Dentist | 1111 Grand Ave Ste G, Diamond Bar, CA 91765-2227 | 2018-04-05 |
| 1003339805 | Ryann Elizabeth Vasquez | Dentist | 817 Windwood Dr, Diamond Bar, CA 91789-3253 | 2017-07-24 |
| 1710409446 | John Hans Lee | Dentist | 23707 Highland Valley Rd, Diamond Bar, CA 91765-1167 | 2017-07-14 |
| 1134596083 | Myoli Herrero Landig | Dentist | 1241 Grand Ave Ste G, Diamond Bar, CA 91765-4447 | 2015-08-26 |
| 1255778429 | Gad Professional Dental Corporation | Dentist | 20657 Golden Springs Dr Ste 207, Diamond Bar, CA 91789-3875 | 2013-05-29 |
| 1346581709 | W.a. Samaan Dds Inc | Dentist | 750 N Diamond Bar Blvd Ste 216, Diamond Bar, CA 91765-1023 | 2013-03-11 |
| 1316257371 | Rex G Chuang | Dentist | 1148 Bramford Ct, Diamond Bar, CA 91765-6501 | 2010-10-08 |
| 1154637833 | Rodgers and Chu Dental Corporation | Dentist | 2841 S Diamond Bar Blvd Ste 8, Diamond Bar, CA 91765-3473 | 2010-08-19 |
| 1629219456 | Lisa Sheu | Dentist | 2660 Wagon Train Ln, Diamond Bar, CA 91765-3646 | 2009-03-06 |
| Find all providers in DIAMOND BAR | ||||
| City | DIAMOND BAR |
| Zip Code | 91765 |
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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.