James Lee, MD | |
12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | |
(714) 741-2772 | |
(714) 741-3364 |
Full Name | James Lee |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 12601 Garden Grove Blvd, Garden Grove, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033173588 | NPI | - | NPPES |
00A453990 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A45399 (California) | Primary |
Entity Name | James Lee, M.d., Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376722165 PECOS PAC ID: 0244390458 Enrollment ID: O20081118000564 |
Mailing Address | Practice Location Address |
---|---|
James Lee, MD Po Box 4613, Irvine, CA 92616-4613 Ph: (949) 250-6399 | James Lee, MD 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 Ph: (714) 741-2772 |
Kyung Kook Ro, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 12601 Garden Grove Blvd, Garden Grove, CA 92843 Phone: 714-636-0342 Fax: 714-636-0391 | |
Dr. Gene Kyo Oh, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12900a Garden Grove Blvd, 122, Garden Grove, CA 92843 Phone: 714-636-0342 Fax: 714-636-0391 | |
Thomas H Ho, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12601 Garden Grove Blvd, Garden Grove, CA 92843 Phone: 714-636-0342 Fax: 714-636-0391 | |
Dr. Tam-nguyen Thi Pham, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 12900a Garden Grove Blvd, 122, Garden Grove, CA 92843 Phone: 714-636-0342 Fax: 714-636-0391 | |
Sama Wangsanutr, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12900a Garden Grove Blvd, #122, Garden Grove, CA 92843 Phone: 714-636-0342 Fax: 714-636-0391 | |
Thien T Tarin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12900a Garden Grove Blvd, Ste #122, Garden Grove, CA 92842 Phone: 714-636-0342 Fax: 714-636-0391 |