Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sang Dae Lee, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1780694356

Dr. Sang Dae Lee, DPM is a Podiatry in San Bernardino, California. Graduated from California School of Podiatric Medicine in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2095 N Waterman Ave
San Bernardino, CA 92404-4834
Phone: (909) 882-3800
Fax: (909) 882-3380
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E4416 (CA)

Record details

NPI number1780694356
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedAugust 8, 2006
Last updated in NPPESSeptember 11, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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