Healthcare Provider Details

I. General information

NPI: 1548329311
Provider Name (Legal Business Name): JAMES HYUN-UK LEE D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2006
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11092 ANDERSON ST
LOMA LINDA CA
92350-1706
US

IV. Provider business mailing address

11730 PECAN WAY
LOMA LINDA CA
92354-3452
US

V. Phone/Fax

Practice location:
  • Phone: 951-445-4407
  • Fax:
Mailing address:
  • Phone: 530-388-5533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number54782
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: