DR. SAMUEL SUNG-JAE LEE (NPI# 1447445192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447445192 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL SUNG-JAE LEE |
| Credential | D.D.S., M.S. |
| Practice Address |
511 Calle Malaguena San Clemente CA 92672-2357 |
| Practice Telephone | 9496974258 |
| Mailing Telephone | 9496974258 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2011-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
56206 | 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 |
| 1508069931 | Samuel Lee | Counselor | 952 Echo Ln Ste 335, Houston, TX 77024-2792 | 2007-06-05 |
| 1851418255 | Samuel Soonho Lee | Dentist | 6727 Flanders Dr Ste 220, San Diego, CA 92121-2926 | 2007-03-23 |
| 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 |
511 CALLE MALAGUENA |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92672-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355234 | Julie Case | Massage Therapist | 205 Via Presa, I Do Not Work From Home- I Am A Contractor, San Clemente, CA 92672 | 2020-10-30 |
| 1396213971 | Kirtney So Lim | Military Health Care Provider | 62 Area San Mateo Naval Clinic, Camp Pendleton, CA 92672 | 2018-11-13 |
| 1407322258 | Lodie Ikeda | Non-emergency Medical Transport (VAN) | 119 Avenida Dolores B, San Clemente, CA 92672 | 2018-10-19 |
| 1629566245 | I-ting Wang | Counselor | 3551 Camino Mira Costa San Clemente, Suite T, San Clemente, CA 92672 | 2018-04-30 |
| 1174046874 | Russell Thompson Chiropractic Inc | Clinic/Center | 629 Camino De Los Mares, Ste. 104, San Clemente, CA 92672 | 2017-07-25 |
| 1518320415 | Addiction Health Alliance LLC | Clinical Medical Laboratory | 605 Avenida Las Flores, San Clemente, CA 92672 | 2016-03-30 |
| 1871961342 | Paul Van Zeumeren | Marriage & Family Therapist | 2715 Calle Del Comercio, Unit C, San Clemente, CA 92672 | 2015-09-14 |
| 1194043596 | Sima Moayed | Pharmacist | 801 N. Elcamino Real, San Clemente, CA 92672 | 2010-05-10 |
| 1942539432 | Martha Elena Hall | Acupuncturist | 131 W. El Portal, San Clemente, CA 92672 | 2009-12-14 |
| 1922334515 | Katie B Mann | Social Worker | 1401 N. El Camino Real, #100, San Clemente, CA 92672 | 2009-11-02 |
| Find all providers in zip 92672 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821146416 | Michael John Redmond | Dentist | 181 Avenida Vaquero, Suite C, San Clemente, CA 92672-3600 | 2007-01-08 |
| 1366510695 | Alex Brandon | Dentist | 1001 Avenida Pico Ste I, San Clemente, CA 92673-6956 | 2006-12-04 |
| 1023182698 | Ellen Julienne Glynn | Dentist | 655 Camino De Los Mares Ste 119, San Clemente, CA 92673-2809 | 2006-11-17 |
| 1841300910 | Frank Joseph Mogavero | Dentist | 1031 Avenida Pico, Suite 101, San Clemente, CA 92673-6352 | 2006-08-30 |
| 1255584280 | Henken & Kennedy Orthodontic Dental Group | Dentist | 1171 Puerta Del Sol, Suite B, San Clemente, CA 92673-6343 | 2008-11-04 |
| 1295902682 | W. Ronald Redmond Dds Ms Inc. | Dentist | 181 Avenida Vaquero, Suite C, San Clemente, CA 92672-3600 | 2008-05-14 |
| 1528183316 | Edmond Herbert Henken | Dentist | 1171 Puerta Del Sol, Suite B, San Clemente, CA 92673-6343 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92672 |
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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.