Healthcare Provider Details

I. General information

NPI: 1619887064
Provider Name (Legal Business Name): JAMES LEE DDS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2291 N TUSTIN ST
ORANGE CA
92865-3703
US

IV. Provider business mailing address

2291 N TUSTIN ST
ORANGE CA
92865-3703
US

V. Phone/Fax

Practice location:
  • Phone: 714-364-4928
  • Fax:
Mailing address:
  • Phone: 714-364-4928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES LEE
Title or Position: PRESIDENT
Credential:
Phone: 213-245-1688