| Dr James Jong Lee, MD | |
|
24268 El Toro Road, Laguna Woods, CA 92637 | |
| (657) 241-8455 | |
| (657) 295-2116 |
| Full Name | Dr James Jong Lee |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 24268 El Toro Road, Laguna Woods, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891853107 | NPI | - | NPPES |
| 8509739 | Medicaid | WA | |
| 0235224 | Other | WA | L&I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C54592 (California) | Primary |
| Entity Name | Memorialcare Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Jong Lee, MD 24268 El Toro Road, Laguna Woods, CA 92637 Ph: (657) 241-8455 | Dr James Jong Lee, MD 24268 El Toro Road, Laguna Woods, CA 92637 Ph: (657) 241-8455 |
Susan K Grenz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 779 C Via Los Altos, Laguna Woods, CA 92637 Phone: 727-798-6640 | |
Kien-an Duong, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24268 El Toro Road, Laguna Woods, CA 92637 Phone: 657-241-8455 Fax: 657-295-2116 | |
Alan R Schenk, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24331 El Toro Rd, Ste. 380, Laguna Woods, CA 92637 Phone: 949-583-0222 Fax: 949-583-0252 | |
Pedram Ansari Pirsaraei, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 24268 El Toro Road, Laguna Woods, CA 92637 Phone: 657-241-8455 Fax: 657-295-2116 | |
Alec Ryan Garcia, RT(MR) Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 24331 El Toro Rd, Laguna Woods, CA 92637 Phone: 949-586-3200 |