Healthcare Provider Details

I. General information

NPI: 1487591277
Provider Name (Legal Business Name): WOO YOUNG LEE DDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 DIVISADERO ST
SAN FRANCISCO CA
94117-2209
US

IV. Provider business mailing address

350 DIVISADERO ST
SAN FRANCISCO CA
94117-2209
US

V. Phone/Fax

Practice location:
  • Phone: 415-921-8867
  • Fax: 415-520-9867
Mailing address:
  • Phone: 415-921-8867
  • Fax: 415-520-9867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: WOO YOUNG LEE
Title or Position: DENTIST
Credential: DDS
Phone: 415-921-8867