Randall Alexander Lee, MD | |
1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 | |
(323) 276-3707 | |
Not Available |
Full Name | Randall Alexander Lee |
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Gender | Male |
Speciality | Urology |
Location | 1516 San Pablo St Fl 5, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285161455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MT213204 (Pennsylvania) | Secondary |
208800000X | Urology | MT213204 (Pennsylvania) | Secondary |
208800000X | Urology | A175869 (California) | Primary |
Entity Name | Usc Care Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
Mailing Address | Practice Location Address |
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Randall Alexander Lee, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 276-3707 | Randall Alexander Lee, MD 1516 San Pablo St Fl 5, Los Angeles, CA 90033-5313 Ph: (323) 276-3707 |
Dr. Saum Bobak Ghodoussipour, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1516 San Pablo St Fl 5, Los Angeles, CA 90033 Phone: 323-865-3700 | |
Victor Nitti, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 Phone: 310-794-7700 Fax: 310-794-0211 | |
Dr. Carol Joan Bennett, M.D. Urology Medicare: Medicare Enrolled Practice Location: 11301 Wilshire Blvd # 10h2, Los Angeles, CA 90073 Phone: 310-478-3711 Fax: 310-268-4967 | |
Arie Belldegrun, MD Urology Medicare: Medicare Enrolled Practice Location: 200 Medical Plz, Suite 140, Los Angeles, CA 90095 Phone: 310-794-7700 Fax: 310-301-8751 | |
Dr. Stuart Holden, Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 Phone: 310-825-1172 Fax: 310-794-0987 | |
Jay J Stein, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 8635 W 3rd St, Suite 460w, Los Angeles, CA 90048 Phone: 310-652-8810 Fax: 310-652-0334 | |
Dr. Philip Werthman, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2080 Century Park E Ste 907, Los Angeles, CA 90067 Phone: 310-277-2873 Fax: 310-286-2139 |