Dr Brian Wu Lee, MD | |
550 N Monterey Ave, Ontario, CA 91764-3318 | |
(909) 391-0333 | |
Not Available |
Full Name | Dr Brian Wu Lee |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 550 N Monterey Ave, Ontario, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932227626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A97884 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Wu Lee, MD 25772 Lawton Ave, Loma Linda, CA 92354-3824 Ph: (909) 936-0964 | Dr Brian Wu Lee, MD 550 N Monterey Ave, Ontario, CA 91764-3318 Ph: (909) 391-0333 |
David Lozano, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 402 E Holt Blvd, Ontario, CA 91761 Phone: 909-467-1605 Fax: 909-467-1608 | |
Dr. Irma Lopez, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 602 N Euclid Ave, Ste: A, Ontario, CA 91762 Phone: 909-391-3423 Fax: 909-391-3424 | |
Amilcar Zuniga, PA-C General Practice Medicare: Medicare Enrolled Practice Location: 402 E Holt Blvd, Ontario, CA 91761 Phone: 909-467-1605 Fax: 909-467-1608 |