Mr George Ichung Lee, MD is a
Anesthesiology physician based in Pinole, California. Mr George Ichung Lee is licensed to practice in California (license number G53711) and his current practice location is 1700 San Pablo Ave, Pinole, California. He can be reached at his office (for appointments etc.) via phone at
(510) 724-9500.
NPI number for Mr George Ichung Lee is 1700950938 and his current mailing address is Po Box 7096, Stockton, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700950938.
Physician's Profile
Full Name | Mr George Ichung Lee |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 1700 San Pablo Ave, Pinole, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700950938
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 12/13/2007
Medical Identifiers
Medical identifiers for Mr George Ichung Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700950938 | NPI | - | NPPES |
00G537110 | Other | CA | BLUE SHIELD OF CA |
00G537110 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | G53711 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr George Ichung Lee is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr George Ichung Lee, MD Po Box 7096, Stockton, CA 95267-0096 Ph: (209) 956-7725 | Mr George Ichung Lee, MD 1700 San Pablo Ave, Pinole, CA 94564-2068 Ph: (510) 724-9500 |
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