Dr Kristina Kang Lee, MD | |
2620 E Las Posas Road, Camarillo, CA 93010 | |
(805) 383-2100 | |
(805) 445-9247 |
Full Name | Dr Kristina Kang Lee |
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Gender | Female |
Speciality | Pediatrics |
Location | 2620 E Las Posas Road, Camarillo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912935388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | G79226 (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 Kristina Kang Lee, MD 2620 E Las Posas Road, Camarillo, CA 93010 Ph: (805) 383-2100 | Dr Kristina Kang Lee, MD 2620 E Las Posas Road, Camarillo, CA 93010 Ph: (805) 383-2100 |
Dr. Maya Bose Vinod, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 422 Arneill Rd, Ste B, Camarillo, CA 93010 Phone: 805-383-4510 Fax: 805-383-4511 | |
David Huei-chung Lowe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3901 Las Posas Rd, Suite #204, Camarillo, CA 93010 Phone: 805-482-8080 Fax: 805-482-8077 | |
Dr. Michael Gary Gold, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2486 Ponderosa Dr Worth, Suite D-211, Camarillo, CA 93010 Phone: 805-484-2818 Fax: 805-482-0028 | |
Lynn J Garcia-galan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2486 N Ponderosa Dr, Ste D211, Camarillo, CA 93010 Phone: 805-484-2818 Fax: 805-482-0028 | |
Surekha Sharma, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2438 N Ponderosa Dr Ste 209c, Camarillo, CA 93010 Phone: 805-482-0721 Fax: 805-389-0725 | |
Dr. Michael Alan Hurwitz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2869 Golf Villa Way, Camarillo, CA 93010 Phone: 805-485-5070 Fax: 805-485-3628 | |
William Douglas Bocash, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2486 N Ponderosa Dr, Ste D211, Camarillo, CA 93010 Phone: 805-484-2818 Fax: 805-482-0028 |