Dr Grace Mindy Lee, MD | |
2500 Merced St, San Leandro, CA 94577-4201 | |
(510) 454-1000 | |
(203) 688-5599 |
Full Name | Dr Grace Mindy Lee |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 2500 Merced St, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023275237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A120055 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Grace Mindy Lee, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000 | Dr Grace Mindy Lee, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000 |
Chin-hsiang Feng, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-518-5598 | |
Dr. Vibha Kundi Gupta, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 517-648-0339 | |
Allison Boyd, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Dr. Bing Chung Shen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Anthony Michael Montefusco Iv, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13855 E 14th St, San Leandro, CA 94578 Phone: 209-342-2300 Fax: 209-524-4240 | |
Mark Makoto Tanaka, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 |