LEE & WIDODO DDS INC (NPI# 1841547775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841547775 |
| Entity Type | Organization |
| Organization Name | LEE & WIDODO DDS INC |
| Practice Address |
1532 San Bernardino Ave Ste A1 Pomona CA 91767-3559 |
| Practice Telephone | 9096701100 |
| Practice Fax Number | 9093980026 |
| Mailing Telephone | 9096701100 |
| Mailing Fax Number | 9093980026 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |
| Authorized Official Name | JEFFREY LEE (DDS/OWNER) |
| Authorized Official Telephone | 9096701100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
49927 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184972135 | Lee & Widodo Dds Inc | Clinic/Center | 1532 San Bernardino Ave Ste A1, Pomona, CA 91767-3559 | 2012-08-23 |
| Street Address |
1532 SAN BERNARDINO AVE STE A1 |
| City | POMONA |
| State | CA |
| Zip Code | 91767-3559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135783 | Chu Zhang Dds Inc | Clinic/Center | 1532 San Bernardino Ave Ste A1, Pomona, CA 91767-3559 | 2011-08-04 |
| 1184972135 | Lee & Widodo Dds Inc | Clinic/Center | 1532 San Bernardino Ave Ste A1, Pomona, CA 91767-3559 | 2012-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619472842 | New City Dental | Clinic/Center | 11 Medical Park Dr Ste 103, Pomona, NY 10970-3559 | 2018-03-28 |
| 1407135783 | Chu Zhang Dds Inc | Clinic/Center | 1532 San Bernardino Ave Ste A1, Pomona, CA 91767-3559 | 2011-08-04 |
| 1831426436 | Dr. Bhavin Chatrabhuj Changela D.d.s. | Clinic/Center | 2407 Valley Blvd Ste C, Pomona, CA 91768-2719 | 2009-11-03 |
| 1295343754 | Jose M Sanchez Dental Corporation | Clinic/Center | 117 W Willow St Ste A, Pomona, CA 91768-1829 | 2020-07-20 |
| 1336679273 | Te-chao Huang Dds Inc | Clinic/Center | 1410 N Garey Ave, Pomona, CA 91767-3810 | 2017-06-14 |
| 1982058855 | Armen Mardirosian Dds Inc. | Clinic/Center | 180 E Mission Blvd Ste A, Pomona, CA 91766-1843 | 2016-04-18 |
| 1871847343 | Western University of Health Sciences | Clinic/Center | 309 E 2nd St, Pomona, CA 91766-1854 | 2012-11-05 |
| 1265785968 | Western University of Health Sciences | Clinic/Center | 309 E 2nd St, Pomona, CA 91766-1854 | 2012-10-18 |
| 1245589282 | Widodo & Lee Dds A Professional Dental Corp | Clinic/Center | 2112 S Garey Ave Ste A, Pomona, CA 91766 | 2012-09-06 |
| 1184972135 | Lee & Widodo Dds Inc | Clinic/Center | 1532 San Bernardino Ave Ste A1, Pomona, CA 91767-3559 | 2012-08-23 |
| Find all providers in POMONA | ||||
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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.