Edward Wan-jae Lee, MD | |
3055 Wilshire Blvd Ste 100, Los Angeles, CA 90010-1119 | |
(213) 484-1000 | |
Not Available |
Full Name | Edward Wan-jae Lee |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 21 Years |
Location | 3055 Wilshire Blvd Ste 100, Los Angeles, 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 |
---|---|---|---|
1487866588 | NPI | - | NPPES |
ENROLLED | Medicaid | IA | |
CC083Z | Other | CA | MEDICARE INDIV. PTAN |
W2067 | Other | CA | MEDICARE GROUP PTAN |
ENROLLED | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 49176 (Minnesota) | Secondary |
207W00000X | Ophthalmology | A106255 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Steven G Khwarg Md Prof Corp | 6002083243 | 3 |
Serrano Eye Center Medical Group | 8224117403 | 3 |
Entity Name | Serrano Eye Center Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851332241 PECOS PAC ID: 8224117403 Enrollment ID: O20080430000316 |
Entity Name | Steven G Khwarg Md Prof Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568722957 PECOS PAC ID: 6002083243 Enrollment ID: O20120627000203 |
Mailing Address | Practice Location Address |
---|---|
Edward Wan-jae Lee, MD 3055 Wilshire Blvd Ste 100, Los Angeles, CA 90010-1119 Ph: (213) 484-1000 | Edward Wan-jae Lee, MD 3055 Wilshire Blvd Ste 100, Los Angeles, CA 90010-1119 Ph: (213) 484-1000 |
Victoria Li-ting Tseng, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 200 Stein Plaza #1-340, Los Angeles, CA 90095 Phone: 310-825-5000 | |
Peter Dentone, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 200 Stein Plaza #1-340, Los Angeles, CA 90095 Phone: 310-825-5000 | |
Michael Myung-sup Han, Ophthalmology Medicare: Medicare Enrolled Practice Location: 1450 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-6335 Fax: 714-456-8874 | |
Kristin Elizabeth Nesburn, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd Street, #390w, Los Angeles, CA 90048 Phone: 310-652-1133 Fax: 310-652-4353 | |
Dr. Stanley S. Kim, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3663 W 6th St, Suite #200, Los Angeles, CA 90020 Phone: 213-385-8500 Fax: 213-385-4896 | |
Homayoun Tabandeh, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1245 Wilshire Blvd, 380, Los Angeles, CA 90017 Phone: 213-483-8810 Fax: 213-481-1503 | |
Arnold Barron, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011 |