Sandy K Lee, MD | |
395 Hickey Blvd, Daly City, CA 94015-2770 | |
(650) 742-2000 | |
Not Available |
Full Name | Sandy K Lee |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 395 Hickey Blvd, Daly City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376615112 | NPI | - | NPPES |
00A720020 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A72002 (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 |
---|---|
Sandy K Lee, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Sandy K Lee, MD 395 Hickey Blvd, Daly City, CA 94015-2770 Ph: (650) 742-2000 |
Charito P. Sico, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-742-2050 | |
Ofelia Ofrecio Maristela, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Campus Dr, Suite 210, Daly City, CA 94015 Phone: 650-994-3000 | |
Esther Jin Kim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 380 90th St, Daly City, CA 94015 Phone: 650-573-2222 | |
Laura A. Prager, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-742-2000 | |
Janice W Gilless, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Campus Dr, Daly City, CA 94015 Phone: 650-652-8720 | |
Alice Breder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Campus Dr, Daly City, CA 94015 Phone: 650-652-8720 Fax: 650-994-1126 | |
Dawn M. Belardinelli, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-742-2000 |