Dr Jackson Lee, | |
1520 San Pablo St, 2000, Los Angeles, CA 90033-5310 | |
(323) 442-5860 | |
Not Available |
Full Name | Dr Jackson Lee |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 1520 San Pablo St, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669527289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | G62123 (California) | Secondary |
207X00000X | Orthopaedic Surgery | G62123 (California) | Primary |
Entity Name | Rancho Faculty Medical Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750317970 PECOS PAC ID: 8022902469 Enrollment ID: O20040211000774 |
Entity Name | Usc Care Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
Mailing Address | Practice Location Address |
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Dr Jackson Lee, 1200 N State St, Los Angeles, CA 90033-1029 Ph: (323) 226-2170 | Dr Jackson Lee, 1520 San Pablo St, 2000, Los Angeles, CA 90033-5310 Ph: (323) 442-5860 |
Dr. Lucille Chaille, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-2170 Fax: 323-226-5760 | |
Erin Meisel, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1200 N State St, Gnh 3900, Los Angeles, CA 90033 Phone: 323-226-7210 | |
Micah Paul Adamson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Ucla Medical Plz Ste 755, Los Angeles, CA 90024 Phone: 310-319-1234 | |
Michael Thomas Fry, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-9111 | |
Dr. Steven Lawrence Zeitzew, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 8113 1/2 Melrose Ave, Los Angeles, CA 90046 Phone: 323-852-1259 Fax: 323-852-1259 | |
Dr. William T Long, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 N Vermont Ave Ste 100, Los Angeles, CA 90027 Phone: 323-913-4300 | |
Kathleen Rose Savage, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 E Cesar E Chavez Ave, Suite 2200, Los Angeles, CA 90033 Phone: 323-264-7600 Fax: 323-261-8027 |