Dr. Kang Yul Lee is a South Lake Tahoe, California based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kang Yul Lee is 45130 for General Practice Dentistry in California. His current practice location is 2180 Lake Tahoe Blvd., Ste #5, South Lake Tahoe. Patients can reach him at 530-541-8229.
Dr. Kang Yul Lee is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kang Yul Lee speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Kang Yul Lee
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
2180 Lake Tahoe Blvd., Ste #5, South Lake Tahoe, California, 96150
Phone:
530-541-8229
Fax:
530-541-8964
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1861567349
NPI Enumeration Date:
21 Nov, 2006
NPI Last Update On:
06 Aug, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kang Yul Lee are as mentioned below.
License Number
Specialization
State
Status
45130
General Practice Dentistry
California
Primary
4897T
General Practice Dentistry
Nevada
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kang Yul Lee such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
G91956
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2180 Lake Tahoe Blvd, Ste #5 South Lake Tahoe, California
Zip:
96150
Phone Number:
530-541-8229
Fax Number:
530-541-8964
Patients can reach Dr. Kang Yul Lee at 2180 Lake Tahoe Blvd., Ste #5, South Lake Tahoe, California or can call to book an appointment on 530-541-8229. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.