BRIAN LEE (NPI# 1639644859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639644859 |
| Entity Type | Individual |
| Full Name | BRIAN LEE |
| Credential | DDS |
| Practice Address |
1100 Park Pl Ste 30 San Mateo CA 94403-7106 |
| Practice Telephone | 6506278191 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
CA103105 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295296598 | Brian Kisub Lee | Chiropractor | 3948 Wilshire Blvd # 200, Los Angeles, CA 90010-3303 | 2019-03-28 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1477094795 | Brian P Lee | Dentist | 1616 Range Ct, Diamond Bar, CA 91765-4318 | 2017-03-20 |
| 1174065429 | Brian Lee | Student in an Organized Health Care Education/Training Program | 6210 Woodside Ave Apt 211, Woodside, NY 11377-3681 | 2016-11-16 |
| 1366807992 | Brian Jin Han Lee | Pharmacist | 4745 Dunsmore Ave, La Crescenta, CA 91214-1814 | 2015-12-28 |
| 1669856894 | Brian Lee | Podiatrist | 66 Rockwell Pl Apt 9d, Brooklyn, NY 11217 | 2015-07-17 |
| 1508267527 | Brian Lee | Dentist | Usa Dental Activity Mcds Na B, 2817 Reilly Rd, Fort Bragg, NC 28310-7302 | 2014-09-09 |
| 1891114377 | Brian Jinho Lee | Student in an Organized Health Care Education/Training Program | 256 S Durham St, Baltimore, MD 21231-2605 | 2014-04-10 |
| 1346583242 | Brian T Lee | Internal Medicine | 197 E Caroline St Ste 1400, San Bernardino, CA 92408-3731 | 2013-03-29 |
| 1225392178 | Brian H Lee | Radiology | 79 Route 37 W Ste 103, Toms River, NJ 08755 | 2012-06-26 |
| Street Address |
1100 PARK PL STE 30 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180426 | Aisha Saradi | Dentist | 1100 Park Pl Ste 30, San Mateo, CA 94403-7106 | 2020-09-25 |
| 1598305484 | Harinder Rai | Dentist | 1100 Park Pl Ste 30, San Mateo, CA 94403-7106 | 2020-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| Find all providers in zip 94403 | ||||
| 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 |
|---|---|---|---|---|
| 1316553431 | Eveline Junaedy-tong | Dentist | 1367 Bel Aire Rd, San Mateo, CA 94402-3616 | 2020-09-23 |
| 1720602444 | Annabel S. Koa, Dmd Inc | Dentist | 400 N San Mateo Dr Ste 2, San Mateo, CA 94401-2418 | 2020-05-29 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1205215795 | Sonrisas Dental Health, Inc. | Dentist | 430 No. El Camino Real, San Mateo, CA 94401-3710 | 2015-05-29 |
| 1023427606 | Katarina Tu | Dentist | 730 Mariners Island Blvd, Apt 37, San Mateo, CA 94404-1553 | 2014-08-07 |
| 1700211000 | Travis David Wu | Dentist | 33 Weepingridge Ct, San Mateo, CA 94402-3731 | 2013-09-05 |
| 1497099253 | Sahar Aurangzeb | Dentist | 19 W 39th Ave, San Mateo, CA 94403-4593 | 2012-11-19 |
| 1326318197 | Theresa Nina Scopazzi | Dentist | 36 N San Mateo Dr Ste C, San Mateo, CA 94401-4523 | 2012-01-10 |
| 1558659276 | Tao Tao Zhang | Dentist | 1927 S. El Camino Real, San Mateo, CA 94403-1321 | 2011-07-15 |
| Find all providers in SAN MATEO | ||||
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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.