Mr Kyung Woon Lee, FNP | |
37491 Enterprise Dr, Burney, CA 96013-4379 | |
(530) 999-9030 | |
(530) 335-3060 |
Full Name | Mr Kyung Woon Lee |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 37491 Enterprise Dr, Burney, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295142149 | NPI | - | NPPES |
NP95006454 | Other | CA | FAMILY AND MENTAL HEALTH NURSE PRACTITIONER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP95006454 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP95006454 (California) | Primary |
Entity Name | Mountain Valleys Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356438261 PECOS PAC ID: 4284685538 Enrollment ID: O20050429000424 |
Mailing Address | Practice Location Address |
---|---|
Mr Kyung Woon Lee, FNP 37491 Enterprise Dr, Burney, CA 96013-4379 Ph: (530) 999-9030 | Mr Kyung Woon Lee, FNP 37491 Enterprise Dr, Burney, CA 96013-4379 Ph: (530) 999-9030 |
Lewis Edgar Furber Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36977 Park Avenue, Pitt River Health Services, Burney, CA 96013 Phone: 530-335-5090 Fax: 530-335-2951 | |
Michael Akas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37497 Enterprise Drive, Burney, CA 96013 Phone: 304-446-5740 | |
Natalia P Orozco, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37491 Enterprise Dr, Burney, CA 96013 Phone: 530-335-5457 |