Dr Marvin John Lee, MD MPH | |
2 W Fern Ave, Redlands, CA 92373-5916 | |
(909) 793-3311 | |
Not Available |
Full Name | Dr Marvin John Lee |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2 W Fern Ave, Redlands, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407820855 | NPI | - | NPPES |
CA203733 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G73607 (California) | Primary |
Entity Name | Beaver Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449 |
Mailing Address | Practice Location Address |
---|---|
Dr Marvin John Lee, MD MPH 1615 Orange Tree Ln, Ste 301, Redlands, CA 92374-4501 Ph: (909) 583-2741 | Dr Marvin John Lee, MD MPH 2 W Fern Ave, Redlands, CA 92373-5916 Ph: (909) 793-3311 |
Salma Mohammadi Green, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1467 Ford St Ste 201, Redlands, CA 92373 Phone: 909-206-2612 | |
Dr. Katrina Carter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 E Citrus Ave, Redlands, CA 92374 Phone: 909-794-3682 | |
Calvin G Hagglov, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25828 Redlands Blvd Ste 102, Redlands, CA 92373 Phone: 909-558-6600 | |
Grace Marie Hecker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1910 Orange Tree Ln Ste 344, Redlands, CA 92374 Phone: 909-792-1388 Fax: 097-487-9259 | |
Shantharam Pai, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 511 Amigos Dr Ste C, Redlands, CA 92373 Phone: 909-799-7111 Fax: 909-498-5154 | |
Dr. Veena Mysore, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 25828 Redlands Blvd Ste 102, Redlands, CA 92373 Phone: 909-558-6600 | |
Horst R Rudrich, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 255 Terracina Blvd, Ste. 105, Redlands, CA 92373 Phone: 909-793-0323 Fax: 909-793-9173 |