Ida Chi Lee, OT | |
2500 Merced St, San Leandro, CA 94577-4201 | |
(510) 454-1000 | |
Not Available |
Full Name | Ida Chi Lee |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 2500 Merced St, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952572265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 786 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Ida Chi Lee, OT 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000 | Ida Chi Lee, OT 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000 |
Mr. Casey Cho, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15206 Shining Star Ln, San Leandro, CA 94579 Phone: 310-796-6210 | |
Mia Jermell Byrd, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1440 168th Ave, San Leandro, CA 94578 Phone: 510-481-8575 | |
Mrs. Amelia Grace Foos, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2500 Merced Street, San Leandro, CA 94577 Phone: 510-454-1000 | |
Casey Erik Boomer, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1440 168th Ave, San Leandro, CA 94578 Phone: 510-481-8575 | |
Ms. Jennifer Christy Monselle, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1440 168th Ave, San Leandro, CA 94578 Phone: 510-481-6421 | |
Mollie Ito Roark, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444 | |
Jasmine Everfield, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2800 Benedict Dr, San Leandro, CA 94577 Phone: 510-357-8300 |