Won Koo Lee, in Sand City, CA - Dentist

Won Koo Lee, is a Dentist based in Sand City, California. Won Koo Lee is licensed to practice in California (license number 34367) and his current practice location is 2030 California Ave, Suite A, Sand City, California. He can be reached at his office (for appointments etc.) via phone at (831) 393-1600.

NPI number for Won Koo Lee is 1750498358 and his current mailing address is 2030 California Ave, Suite A, Sand City, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750498358.

Contact Information

	Won Koo Lee,
	2030 California Ave, Suite A, Sand City, CA 93955-3150
	(831) 393-1600
	(831) 393-2600

Healthcare Provider's Profile

Full Name	Won Koo Lee
Gender	Male
Speciality	Dentist
Location	2030 California Ave, Sand City, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1750498358
Provider Enumeration Date: 08/23/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Won Koo Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750498358	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	34367 (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. Won Koo 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 Address	Practice Location Address
Won Koo Lee, 2030 California Ave, Suite A, Sand City, CA 93955-3150 Ph: (831) 393-1600	Won Koo Lee, 2030 California Ave, Suite A, Sand City, CA 93955-3150 Ph: (831) 393-1600

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Won Koo Lee, - Dentist in Sand City, CA