Jon G Lee, MD | |
1721 W Yosemite Ave, Manteca, CA 95337-5130 | |
(209) 476-2000 | |
Not Available |
Full Name | Jon G Lee |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1721 W Yosemite Ave, Manteca, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770661589 | NPI | - | NPPES |
00G787410 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | G78741 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Jon G Lee, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Jon G Lee, MD 1721 W Yosemite Ave, Manteca, CA 95337-5130 Ph: (209) 476-2000 |
Dr. Kelly Mah, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1205 E North St, Manteca, CA 95336 Phone: 209-612-9077 Fax: 209-824-0754 | |
Cynthia M Vanata, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1144 Norman Dr, #104, Manteca, CA 95336 Phone: 209-823-0827 Fax: 209-823-5854 | |
Dr. Linda J Bouchard, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 520 E Center St, Manteca, CA 95336 Phone: 209-860-4393 Fax: 209-650-0684 | |
Edward Joseph Stanford, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1262 E North St, Manteca, CA 95336 Phone: 209-823-7646 Fax: 209-824-5374 | |
Yu-yea M. Tzeng, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 | |
Ms. Gail R Joseph, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1262 E North St, Manteca, CA 95336 Phone: 209-823-7646 Fax: 209-824-5374 | |
Dr. Catherine F Mathis, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1234 E. North St, Suite 102, Manteca, CA 95336 Phone: 209-824-2202 Fax: 209-824-2205 |