DR. SAMUEL SOONHO LEE (NPI# 1851418255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851418255 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL SOONHO LEE |
| Credential | DDS |
| Practice Address |
6727 Flanders Dr Ste 220 San Diego CA 92121-2926 |
| Mailing Address |
11 Cambridge St Burlington MA 01803-4625 |
| Practice Telephone | 7147183446 |
| Practice Fax Number | 8885534912 |
| Mailing Telephone | 7147183446 |
| Mailing Fax Number | 8883918014 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 054368-1 | NY | Dental Providers |
| Y | 122300000X | Dentist | DN1855469 | MA | Dental Providers |
| N | 122300000X | Dentist | 51353 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396295648 | Samuel Lee | Case Manager/Care Coordinator | 1025 Palo Verde Ave, Apt 13, Long Beach, CA 90815-4645 | 2016-10-11 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1033538954 | Samuel Lee | Anesthesiology | 100 Michign St Ne, Grand Rapids, MI 49503-2560 | 2014-04-08 |
| 1649606401 | Samuel Shih-yu Lee | Counselor | 906 E 5th St, Suite 201, Austin, TX 78702-3861 | 2013-09-24 |
| 1184989436 | Samuel Theodore Lee | Pediatrics | 4401 Wornall Rd Ste 2708, Kansas City, MO 64111-3220 | 2012-07-11 |
| 1356604722 | Samuel Yeh-chang Lee | Specialist/Technologist | 2429 Pali Hwy, Honolulu, HI 96817-1452 | 2012-06-20 |
| 1447445192 | Samuel Sung-jae Lee | Dentist | 511 Calle Malaguena, San Clemente, CA 92672-2357 | 2007-09-06 |
| 1508069931 | Samuel Lee | Counselor | 952 Echo Ln Ste 335, Houston, TX 77024-2792 | 2007-06-05 |
| 1053323220 | Samuel Lee | Pharmacist | 4150 Clement St # 119, San Francisco, CA 94121-1545 | 2006-08-13 |
| 1770508376 | Samuel C Lee | Family Medicine | 800 8th Ave Ste 528, Fort Worth, TX 76104-2604 | 2006-07-13 |
| Street Address |
6727 FLANDERS DR STE 220 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528410123 | Dr Samuel Lee Dental Corp | Dentist | 6727 Flanders Dr Ste 220, San Diego, CA 92121-2926 | 2016-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| 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 |
|---|---|---|---|---|
| 1265048409 | Sara Siraj | Dentist | 7720 Tyrolean Rd, San Diego, CA 92126-1029 | 2020-09-22 |
| 1639785306 | Brittany Jordan Noris | Dentist | 5830 Oberlin Dr Ste 201, San Diego, CA 92121-3754 | 2020-09-18 |
| 1437761475 | Pouya Parsa | Dentist | 12275 Carmel Vista Rd Unit 224, San Diego, CA 92130-2536 | 2020-08-20 |
| 1366060808 | Azadeh Khajavi | Dentist | 16516 Bernardo Center Dr Ste 210, San Diego, CA 92128-2551 | 2020-07-10 |
| 1871127456 | Sandhya Ramanujam | Dentist | 16466 Bernardo Center Dr Ste 185, San Diego, CA 92128-2522 | 2020-02-23 |
| 1396396164 | Khanh Nguyen | Dentist | 8605 Andromeda Rd, San Diego, CA 92126-1803 | 2019-09-24 |
| 1770133977 | Jeffrey Leland Elmer | Dentist | 2310 Craven St Unit 3210, San Diego, CA 92136-5596 | 2019-09-19 |
| 1609429273 | Navya Jampala | Dentist | 10891 Creekbridge Pl, San Diego, CA 92128-5108 | 2019-07-22 |
| 1619529229 | Calli Ann Marando | Dentist | 2310 Craven St # 3230, San Diego, CA 92136-5596 | 2019-07-13 |
| 1669024428 | Bolivia Pereira Hurtado | Dentist | 2303 92136, 2309 Doyle St, San Diego, CA 92136-0001 | 2019-07-11 |
| Find all providers in SAN DIEGO | ||||
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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.