Mr Enrique Lee, CRNA | |
6640 Alton Pkwy, Irvine, CA 92618-3734 | |
(833) 574-2273 | |
Not Available |
Full Name | Mr Enrique Lee |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 6640 Alton Pkwy, Irvine, 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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1902343361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 114193 (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 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Mr Enrique Lee, CRNA 1130 Rosas St Apt D1, Calexico, CA 92231-1994 Ph: () - | Mr Enrique Lee, CRNA 6640 Alton Pkwy, Irvine, CA 92618-3734 Ph: (833) 574-2273 |
Britainie De Garbott, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4082 Belvedere St, Irvine, CA 92604 Phone: 310-547-1766 | |
Miranda Shu-li Chih, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 949-671-4673 Fax: 949-671-4329 | |
Nancy Y. Christiano, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 949-671-4673 Fax: 949-671-4329 | |
Mr. Michael George Marino, FNP-C, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 949-671-4673 Fax: 949-671-4329 | |
Kimberly Anne Meraz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15825 Laguna Canyon Rd Ste 100, Irvine, CA 92618 Phone: 706-402-5480 | |
Mr. Stevan Paul Abt, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6640 Alton Pkwy, Irvine, CA 92618 Phone: 949-932-5000 |