CHONG IL LEE D.D.S A PROFESSIONAL CORPORATION (NPI# 1164675195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164675195 |
| Entity Type | Organization |
| Organization Name | CHONG IL LEE D.D.S A PROFESSIONAL CORPORATION |
| Practice Address |
1739 S Euclid Ave Ste A Ontario CA 91762-5831 |
| Practice Telephone | 9099839325 |
| Practice Fax Number | 9094679956 |
| Mailing Telephone | 9099839325 |
| Mailing Fax Number | 9094679956 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |
| Authorized Official Name | DR. CHONG IL LEE (PRESIDENT) |
| Authorized Official Telephone | 9099839325 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
B25931 | CA | Ambulatory Health Care Facilities |
| Street Address |
1739 S EUCLID AVE STE A |
| City | ONTARIO |
| State | CA |
| Zip Code | 91762-5831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093486 | Samantha Jo Brumfield | Nurse Practitioner | 5562 Central Avenue, Suite 300, Chino, CA 91762 | 2019-09-20 |
| 1215598578 | Janet Murphy | Behavior Technician | 1520 North Mountain Ave., Ste 206, Ontario, CA 91762 | 2019-06-26 |
| 1437717550 | Fjs Hearing Professionals | Hearing Instrument Specialist | 528 N Palm Ave, Ontario, CA 91762 | 2019-06-04 |
| 1669990768 | Claudia Juarez Tapia | Counselor | 125 W F Street, Ontario, CA 91762 | 2017-09-08 |
| 1093230468 | David Rayo | Respiratory Therapist, Registered | 805 W E St, Ontario, CA 91762 | 2017-08-07 |
| 1215475348 | Chinmay Patel | Physical Therapist | 910 S Mountain Avenue Unite A, Ontario, CA 91762 | 2017-02-09 |
| 1003265604 | Bambi Mpiana | Dentist | 1337 N Mountain Ave Ste 1, Ontario, CA 91762 | 2016-06-06 |
| 1548630940 | Ned Paniagua, Dmd A Professional Corporation | Dentist | 533 W. Holt Blvd., Suite B, Ontario, CA 91762 | 2015-09-29 |
| 1568865251 | Jennifer Estberg | Student in an Organized Health Care Education/Training Program | 317 W. F Street, Ontario, CA 91762 | 2014-10-08 |
| 1447660873 | Agha Zulfequar Hayder | Nurse Practitioner | 1001 West 6th Street, Suite B., Ontario, CA 91762 | 2014-05-07 |
| Find all providers in zip 91762 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962033902 | Pomona Community Health Center | Clinic/Center | 720 N Sultana Ave, Ontario, CA 91764-3235 | 2020-01-29 |
| 1720618069 | Pomona Community Health Center | Clinic/Center | 555 W Maple St, Ontario, CA 91762-5734 | 2020-01-24 |
| 1184181950 | Pomona Community Health Center | Clinic/Center | 1700 E 7th St, Ontario, CA 91764-1204 | 2019-02-27 |
| 1598261059 | Jimmy K Bhatt, Dds, Inc | Clinic/Center | 941 W Mission Blvd Ste H, Ontario, CA 91762-6890 | 2018-04-03 |
| 1336677079 | Chen & Huang Dental Corporation | Clinic/Center | 1791 E Holt Blvd Unit 102, Ontario, CA 91761-2118 | 2017-05-25 |
| 1306194154 | Krupakar Yeturu Dds Inc | Clinic/Center | 203 W. Francis Street, Ontario, CA 91762 | 2012-08-28 |
| 1184938532 | Jui-min Su, D.d.s., M.s., Professional Corporation | Clinic/Center | 4275 Concours Ste 105, Ontario, CA 91764-5901 | 2010-07-27 |
| 1548824733 | D H Kim Dental Corporation | Clinic/Center | 452 N Mountain Ave, Ontario, CA 91762-2540 | 2019-04-24 |
| 1568928752 | Joshua Colt Sweeten Dds PC | Clinic/Center | 286 Sw 4th St, Ontario, OR 97914-2610 | 2019-02-13 |
| 1255897617 | Francisco C Enverga Dds, Inc. | Clinic/Center | 2508 S Grove Ave, Ontario, CA 91761-6253 | 2019-02-11 |
| Find all providers in ONTARIO | ||||
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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.