Dr Derrick Albert Lee, MD | |
5601 De Soto Ave, Woodland Hills, CA 91367-6701 | |
(888) 515-3500 | |
Not Available |
Full Name | Dr Derrick Albert Lee |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 5601 De Soto Ave, Woodland Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073801718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R72812 (Arizona) | Secondary |
208000000X | Pediatrics | A141619 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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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 |
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Dr Derrick Albert Lee, MD 5601 De Soto Ave, Woodland Hills, CA 91367-6701 Ph: (888) 515-3500 | Dr Derrick Albert Lee, MD 5601 De Soto Ave, Woodland Hills, CA 91367-6701 Ph: (888) 515-3500 |
Margaret M. Stone, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000 | |
Ms. Portia Bautista, Pediatrics Medicare: Medicare Enrolled Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000 | |
Dr. Melissa Orkin, Pediatrics Medicare: Medicare Enrolled Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 888-515-3500 | |
Stephen G. Watson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000 | |
Marvin C. Sachs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000 | |
Patricia L. De La Riva, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5601 De Soto Ave, Woodland Hills, CA 91367 Phone: 818-719-2000 |