MEDICARE: LEE & KIM DENTAL GROUP, INC.

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1538019310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEE & KIM DENTAL GROUP, INC.

Provider Business Mailing Address
First Line	:	6815 EASTERN AVE
Second Line	:
City	:	BELL GARDENS
State	:	CA
Zip	:	90201-3901
Country	:	US
Telephone Number	:	323-300-2660
Fax Number	:

Provider Business Practice Location Address
First Line	:	6815 EASTERN AVE
Second Line	:
City	:	BELL GARDENS
State	:	CA
Zip	:	90201-3901
Country	:	US
Telephone Number	:	323-300-2660
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. SEUNG YEOP LEE
Credential	:	DDS
Telephone Number	:	213-999-1928

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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