Da Mi Lee, | |
4695 Macarthur Ct # 1112a, Newport Beach, CA 92660-1882 | |
(949) 520-1490 | |
Not Available |
Full Name | Da Mi Lee |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4695 Macarthur Ct # 1112a, Newport Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1558087684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95021945 (California) | Primary |
Entity Name | Minuteclinic Diagnostic Medical Group Of California Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289 |
Entity Name | Minuteclinic Diagnostic Medical Group Of Orange County Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214 |
Entity Name | Minuteclinic Diagnostic Medical Group Of San Diego Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249 |
Mailing Address | Practice Location Address |
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Da Mi Lee, 4695 Macarthur Ct # 1112a, Newport Beach, CA 92660-1882 Ph: () - | Da Mi Lee, 4695 Macarthur Ct # 1112a, Newport Beach, CA 92660-1882 Ph: (949) 520-1490 |
Mrs. Kena Gunter, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2071 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 949-759-1720 | |
Ms. Kay R Collier, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 Hospital Rd Ste 401, Newport Beach, CA 92663 Phone: 949-642-6787 Fax: 949-642-4833 | |
Michael Nash, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hoag Dr, Newport Beach, CA 92663 Phone: 949-764-8376 | |
Olivia Taylor Defilippo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4631 Teller Ave Ste 100, Newport Beach, CA 92660 Phone: 949-887-7187 | |
Miki Stacy Ohata, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3900 W Coast Hwy Ste 310, Newport Beach, CA 92663 Phone: 949-478-8858 | |
Mallory Marino, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Hoag Dr, Newport Beach, CA 92663 Phone: 949-421-7019 | |
Linda Joyce Buck, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Avocado Ave, Newport Beach, CA 92660 Phone: 949-763-2204 Fax: 949-536-8036 |