Dr Stephanie Sophie Lee, MD, MPH | |
10775 Pioneer Trl Ste 215, Truckee, CA 96161-0234 | |
(415) 424-4266 | |
(415) 520-6633 |
Full Name | Dr Stephanie Sophie Lee |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 10775 Pioneer Trl Ste 215, Truckee, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104246768 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 40183 (South Carolina) | Secondary |
208000000X | Pediatrics | MD471282 (Pennsylvania) | Secondary |
208000000X | Pediatrics | A140401 (California) | Primary |
Entity Name | St Joseph Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184754657 PECOS PAC ID: 3779688650 Enrollment ID: O20070421000011 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephanie Sophie Lee, MD, MPH 8300 Esters Blvd Ste 900, Irving, TX 75063-2233 Ph: (415) 424-4266 | Dr Stephanie Sophie Lee, MD, MPH 10775 Pioneer Trl Ste 215, Truckee, CA 96161-0234 Ph: (415) 424-4266 |
Dr. Alida Fiamengo, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10956 Donner Pass Rd Ste 310, Truckee, CA 96161 Phone: 530-587-3523 | |
Dr. Lindara L Halloran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Dr. Maria Sylma Ortiz-tweed, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Jennifer Berkovich, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Dr. Adrian J Khaw, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Ellen Marie Dejong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 510-307-6773 |