| Ching G. Lee M.d. Inc | |
|
408 S. Beach Blvd #203 Anaheim CA 92804-1877 | |
| (714) 527-9111 | |
| (714) 527-7426 |
| Full Name | Ching G. Lee M.d. Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 408 S. Beach Blvd, Anaheim, California |
| Authorized Official Name and Position | Ching G Lee (OWNER) |
| Authorized Official Contact | 7145279111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ching G. Lee M.d. Inc 408 S. Beach Blvd. #203 Anaheim CA 92804 Ph: (714) 527-9111 | Ching G. Lee M.d. Inc 408 S. Beach Blvd #203 Anaheim CA 92804-1877 Ph: (714) 527-9111 |
| NPI Number | 1447586920 |
|---|---|
| Provider Enumeration Date | 10/19/2009 |
| Last Update Date | 06/28/2011 |
| Medicare PECOS PAC ID | 2264579846 |
|---|---|
| Medicare Enrollment ID | O20091030000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447586920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G61762 (California) | Primary |
| Provider Name | Ching G Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821105321 PECOS PAC ID: 9739226317 Enrollment ID: I20091030000437 |
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