DR. KELLY KYUNG A. LEE (NPI# 1619008034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619008034 |
| Entity Type | Individual |
| Full Name | DR. KELLY KYUNG A. LEE |
| Credential | D.D.S. |
| Practice Address |
2211 E. 7th St. Long Beach CA 90804 |
| Mailing Address |
1066 Agate Ct Gardena CA 90247-2485 |
| Practice Telephone | 5624396562 |
| Practice Fax Number | 5624347892 |
| Mailing Telephone | 5624396562 |
| Mailing Fax Number | 5624347892 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
53919 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386191856 | Kelly Lee | Registered Nurse | 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 | 2016-09-01 |
| 1114392594 | Kelly Ann Lee | Nurse Practitioner | 405 Columbine Ct, Cranberry Township, PA 16066-3201 | 2015-12-10 |
| 1447586532 | Kelly Jeanette Lee | Marriage & Family Therapist | 200 Spring Dr, Mt Washington, KY 40047-7768 | 2009-10-23 |
| 1083616874 | Kelly C Lee | Pharmacist | 140 Arbor Drive, San Diego, CA 92103-0000 | 2005-08-11 |
| 1124647086 | Kelly Jieun Lee | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr # Mc7792, San Antonio, TX 78229-3901 | 2020-04-10 |
| 1134615339 | Kelly Lee | Dentist | 10195 N Oracle Rd Ste 111, Oro Valley, AZ 85704-8751 | 2018-07-11 |
| 1215421649 | Kelly Lee | Occupational Therapist | 255 E Bonita Ave, Pomona, CA 91767-1923 | 2018-06-19 |
| 1316473820 | Kelly Lee | Behavior Technician | 2101 112th Ave Ne, Suite 100, Bellevue, WA 98004-2944 | 2017-05-03 |
| 1659805810 | Kelly Lee | Pharmacist | 801 Traeger Ave, San Bruno, CA 94066-3048 | 2017-04-14 |
| 1841722279 | Kelly M Lee | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2017-04-03 |
| Street Address |
2211 E. 7TH ST. |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| 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 |
|---|---|---|---|---|
| 1942866645 | Mahshid Assadi | Dentist | 4300 Long Beach Blvd Ste 415, Long Beach, CA 90807-2017 | 2019-05-17 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1235662842 | Addyson England | Dentist | 6437 E Pacific Coast Hwy Unit A-6, Long Beach, CA 90803-4201 | 2017-04-10 |
| 1346608379 | Anh Hoang Nguyen | Dentist | 2700 N Bellflower Blvd Ste 106, Long Beach, CA 90815-1129 | 2016-02-04 |
| 1477925683 | Cherag Dinshaw Sarkari Dds A Dental Corporation | Dentist | 2306 E 7th St, Long Beach, CA 90804-4619 | 2015-10-27 |
| 1487020293 | Anina Larez | Dentist | 3481 E Curry St, Long Beach, CA 90805-3815 | 2015-08-15 |
| 1174926281 | Jocelynn Vida Sustaita | Dentist | 141 E Willow St, Long Beach, CA 90806-2633 | 2014-10-02 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1164859096 | Hyung T Kim Dds Inc. | Dentist | 130 W. Anaheim Street, Long Beach, CA 90813-3113 | 2013-10-10 |
| 1104258805 | Scott Craig Bohlke | Dentist | 5175 E. Pacific Coast Hwy., Suite 401, Long Beach, CA 90804-3313 | 2013-08-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
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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.