Dr Philip H Lee, MD | |
4601 Dale Rd, Modesto, CA 95356-9718 | |
(559) 459-6000 | |
Not Available |
Full Name | Dr Philip H Lee |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 25 Years |
Location | 4601 Dale Rd, Modesto, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124200365 | NPI | - | NPPES |
0A1003990 | Medicaid | CA | |
0A1003990 | Other | CA | BLUE SHIELD OF CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A100399 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
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 |
---|---|
Dr Philip H Lee, MD Po Box 7096, Stockton, CA 95267-0096 Ph: (209) 956-7725 | Dr Philip H Lee, MD 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (559) 459-6000 |
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