Jay Lee, | |
11234 Anderson St # C, Gme Office Westerly Ste, Loma Linda, CA 92354-2804 | |
(909) 558-4015 | |
Not Available |
Full Name | Jay Lee |
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Gender | Male |
Speciality | Anesthesiology |
Location | 11234 Anderson St # C, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518498856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A157218 (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 |
Entity Name | Knd Development 59 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740519081 PECOS PAC ID: 3678602802 Enrollment ID: O20100724000249 |
Mailing Address | Practice Location Address |
---|---|
Jay Lee, 11234 Anderson St, Gme Office Westerly Suite C, Loma Linda, CA 92354-2804 Ph: () - | Jay Lee, 11234 Anderson St # C, Gme Office Westerly Ste, Loma Linda, CA 92354-2804 Ph: (909) 558-4015 |
Elyse Lauren Guran, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4015 | |
Samuel Cook Chambi, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4015 | |
Marina Liu, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4475 | |
Vu Nguyen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Dr. Michele Denise Vandenhoven, MD. Anesthesiology Medicare: Medicare Enrolled Practice Location: 11234 Anderson St., Loma Linda, CA 92354 Phone: 909-558-8054 Fax: 909-558-0187 | |
Thomas P. Engel, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St Rm 2532, Loma Linda, CA 92354 Phone: 909-558-4475 Fax: 916-734-2975 | |
Dr. Martin Minh Le, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 |