Dr Timothy Lee, MD | |
8510 Balboa Blvd, Sutie 150, Northridge, CA 91325-3583 | |
(818) 552-6230 | |
Not Available |
Full Name | Dr Timothy Lee |
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Gender | Male |
Speciality | General Practice |
Location | 8510 Balboa Blvd, Northridge, 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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1730165903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A72498 (California) | Primary |
Entity Name | Lakeside Medical Organization A Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
Mailing Address | Practice Location Address |
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Dr Timothy Lee, MD 8510 Balboa Blvd, Sutie 150, Northridge, CA 91325-3583 Ph: (818) 552-6230 | Dr Timothy Lee, MD 8510 Balboa Blvd, Sutie 150, Northridge, CA 91325-3583 Ph: (818) 552-6230 |
Dr. Jacob Jay Lorber, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 10453 Yolanda Ave, Northridge, CA 91326 Phone: 818-368-9087 Fax: 818-368-9087 | |
Dr. Conrad J R Miranda Iv, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 9900 Balboa Blvd, Suite A, Northridge, CA 91325 Phone: 818-701-0017 Fax: 818-701-0073 | |
Dr. Kiran P Dua, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 8349 Reseda Blvd, Suite G, Northridge, CA 91324 Phone: 818-886-7322 | |
Ashima Sharma, General Practice Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311 | |
Dr. Lee Richard Brautman, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 18111 Nordhoff St, Northridge, CA 91330 Phone: 818-677-3666 Fax: 818-677-2304 |