Dr Chang Soo Lee, DDS - Dentist in Imperial, CA

Dr Chang Soo Lee, DDS is a Dentist - General Practice based in Imperial, California. Dr Chang Soo Lee is licensed to practice in California (license number 45132) and his current practice location is 2387 Us Highway 86, Imperial, California. He can be reached at his office (for appointments etc.) via phone at (760) 353-0576.

NPI number for Dr Chang Soo Lee is 1679734446 and his current mailing address is 2387 Us Highway 86, Imperial, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679734446.

Contact Information

Dr Chang Soo Lee, DDS
2387 Us Highway 86,
Imperial, CA 92251-9780
(760) 353-0576
(760) 353-0576



Healthcare Provider's Profile

Full NameDr Chang Soo Lee
GenderMale
SpecialityDentist - General Practice
Location2387 Us Highway 86, Imperial, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679734446
  • Provider Enumeration Date: 06/24/2008
  • Last Update Date: 06/24/2008

Medical Identifiers

Medical identifiers for Dr Chang Soo Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679734446NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 45132 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Chang Soo Lee is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Chang Soo Lee, DDS
2387 Us Highway 86,
Imperial, CA 92251-9780

Ph: (760) 353-5100
Dr Chang Soo Lee, DDS
2387 Us Highway 86,
Imperial, CA 92251-9780

Ph: (760) 353-0576

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› Verified 5 days ago


Dentist in Imperial, CA

Dr. Gary G Cummings, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2302 Brown Rd., Centinela State Prison, Imperial, CA 92251
Phone: 760-337-7900    
Dr. Nelson B. Musgrave, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2302 Brown Road, Centinela State Prison, Imperial, CA 92251
Phone: 760-337-7900    
Michael Negrete, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2387 Us Highway 86, Imperial, CA 92251
Phone: 760-353-5100    
Caroline Antchagno,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2411 Imperial Business Park Dr, Imperial, CA 92251
Phone: 760-355-8606    
Richard Cervantes, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2387 Us Highway 86, Imperial, CA 92251
Phone: 760-353-5100    Fax: 760-353-0576
Byron Justus, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2387 Us Highwy 86, Imperial, CA 92251
Phone: 760-353-5100    Fax: 760-353-0576
Mr. Avetik Ricky Kazarian, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 508 W. Aten Rd., Imperial, CA 92251
Phone: 760-355-4444    Fax: 760-355-4446

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