Mark A St Lezin, MD | |
275 W Macarthur Blvd, Oakland, CA 94611-5641 | |
(510) 752-1000 | |
Not Available |
Full Name | Mark A St Lezin |
---|---|
Gender | Male |
Speciality | Urology |
Location | 275 W Macarthur Blvd, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952489734 | NPI | - | NPPES |
00G647270 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | G64727 (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 |
---|---|
Mark A St Lezin, MD 275 W Macarthur Blvd, Oakland, CA 94611-5641 Ph: (510) 752-1000 | Mark A St Lezin, MD 275 W Macarthur Blvd, Oakland, CA 94611-5641 Ph: (510) 752-1000 |
Qingwei Robert Yan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3100 Telegraph Ave Ste 3000, Oakland, CA 94609 Phone: 510-238-1238 Fax: 510-238-1338 | |
Phillip Leon Ross, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 350 30th St, Ste 100, Oakland, CA 94609 Phone: 510-204-8290 Fax: 510-273-8977 | |
Dr. Dawud Omar Lankford, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3300 Webster St Ste 710, Oakland, CA 94609 Phone: 510-465-5800 Fax: 510-267-1833 | |
Dr. Andrew W Tam, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 350 30th St Ste 100, Oakland, CA 94609 Phone: 510-204-8168 | |
Dr. Clifford Ralph Melton, MD MD Urology Medicare: Accepting Medicare Assignments Practice Location: 401 29th St, 206, Oakland, CA 94609 Phone: 510-835-3680 Fax: 510-835-0738 | |
Dr. Selma Masic, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3600 Broadway, Oakland, CA 94611 Phone: 510-752-6789 Fax: 510-752-1673 | |
Dr. David S. Aaronson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 Fax: 415-353-2641 |