MEDICARE: ETHAN CHUNG AN LEE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	D 48688	CA

General Provider Information

NPI Number	:	1245361856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ETHAN CHUNG AN LEE DDS

Provider Business Mailing Address
First Line	:	1230 S 4TH ST
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91801-5032
Country	:	US
Telephone Number	:	626-282-6760
Fax Number	:

Provider Business Practice Location Address
First Line	:	6046 WHITTIER BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90022-4402
Country	:	US
Telephone Number	:	626-716-7078
Fax Number	:	323-726-3390

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	01/30/2015

Similar Medicare Providers

1891139978 — SIN FRONTERAS MEDICAL CLINIC
Practice Location Address:

6006 WHITTIER BLVD
LOS ANGELES, CA
90022-4402

Practice Phone: 323-725-6292
Practice Fax: 323-725-6587

1114560083 — SIN FRONTERAS HEALTH AND WELLNESS CENTER, INC, A PROFESSIONAL CORPORAT
Practice Location Address:

6006 WHITTIER BLVD
LOS ANGELES, CA
90022-4402

Practice Phone: 323-725-6292
Practice Fax: 323-725-6292

1417694662 — PAIK DENTAL GROUP INC
Practice Location Address:

6046 WHITTIER BLVD
LOS ANGELES, CA
90022-4402

Practice Phone: 323-726-3204
Practice Fax:

1326981473 — IMANY NJOKU
Practice Location Address:

6722 2ND AVE
LOS ANGELES, CA
90043-4402

Practice Phone: 424-297-6638
Practice Fax:

1003776378 — H&Y SPECIALTY PHARMACY, INC.
Practice Location Address:

5245 SANTA MONICA BLVD # 1A
LOS ANGELES, CA
90029-4402

Practice Phone: 323-443-0050
Practice Fax: 323-443-0171

1477583474 — SHENEEKRA W ADAMS
Practice Location Address:

6060 W OLYMPIC BLVD
LOS ANGELES, CA
90036-4402

Practice Phone: 323-549-0567
Practice Fax: 323-549-0577

Directions to “ ETHAN CHUNG AN LEE DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.