Dr Jaesung Lee, MD | |
301 S Moorpark Rd, Thousand Oaks, CA 91361-1008 | |
(805) 379-9646 | |
(805) 379-0611 |
Full Name | Dr Jaesung Lee |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 37 Years |
Location | 301 S Moorpark Rd, Thousand Oaks, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376550715 | NPI | - | NPPES |
P00957561 | Other | CA | MEDICARE RAILROAD |
G64716 | Other | CA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | G64716 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Johns Regional Medical Center | Oxnard, CA | Hospital |
Los Robles Hospital & Medical Center | Thousand oaks, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Coast Ear, Nose And Throat | 9638352503 | 8 |
Entity Name | West Coast Ear, Nose And Throat |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588868863 PECOS PAC ID: 9638352503 Enrollment ID: O20110330000774 |
Mailing Address | Practice Location Address |
---|---|
Dr Jaesung Lee, MD 2876 Sycamore Dr, Suite 303, Simi Valley, CA 93065-1530 Ph: (805) 527-7320 | Dr Jaesung Lee, MD 301 S Moorpark Rd, Thousand Oaks, CA 91361-1008 Ph: (805) 379-9646 |
Dr. Gary Scott Voorman, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 301 S Moorpark Rd, Thousand Oaks, CA 91361 Phone: 805-379-9646 Fax: 805-379-0611 | |
Dr. Jeffrey Tseng, M.D. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 2220 Lynn Rd, Suite 109, Thousand Oaks, CA 91360 Phone: 805-496-8103 Fax: 805-496-9661 | |
Dr. Kelvin Loh, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 301 S Moorpark Rd, Thousand Oaks, CA 91361 Phone: 805-379-9646 Fax: 805-379-0611 | |
Dr. Natalie Erin Kadin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 Moody Ct, Suite 200, Thousand Oaks, CA 91360 Phone: 805-418-3500 Fax: 805-418-3505 | |
Dr. Abhay Makarand Vaidya, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 301 S Moorpark Rd, Thousand Oaks, CA 91361 Phone: 805-379-9646 Fax: 805-379-0611 | |
Tom Maxim, Otolaryngology Medicare: Medicare Enrolled Practice Location: 100 Moody Ct Ste 200, Thousand Oaks, CA 91360 Phone: 805-418-3500 |