Dr Stephanie Lee, MD, MPH | |
21 Orchard, Lake Forest, CA 92630-8300 | |
(949) 694-5700 | |
Not Available |
Full Name | Dr Stephanie Lee |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 21 Orchard, Lake Forest, 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 |
---|---|
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 Lee, MD, MPH 21 Orchard, Lake Forest, CA 92630-8300 Ph: (949) 207-3315 | Dr Stephanie Lee, MD, MPH 21 Orchard, Lake Forest, CA 92630-8300 Ph: (949) 694-5700 |
Eric Howard Ball, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23321 El Toro Road, Suites F&g, Lake Forest, CA 92630 Phone: 949-770-6789 Fax: 949-829-9125 | |
James Su, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23321 El Toro Rd Ste F&g, Lake Forest, CA 92630 Phone: 949-770-0513 | |
Terence Chu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23321 El Toro Rd, Suites F&g, Lake Forest, CA 92630 Phone: 949-770-0513 | |
Regina Brown, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23321 El Toro Rd, Suites F&g, Lake Forest, CA 92630 Phone: 949-770-0513 | |
Dr. James Leon Kay, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24432 Muirlands Blvd, Suite 111, Lake Forest, CA 92630 Phone: 949-364-2229 Fax: 949-364-1104 | |
Dr. Katherine Danielle Williamson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23321 El Toro Rd, Suite F, Lake Forest, CA 92630 Phone: 949-388-1798 |