| Edwin A Lee Md A Medical Corporation | |
|
1300 N Vermont Ave Ste 808 Los Angeles CA 90027-6091 | |
| (323) 694-4900 | |
| (323) 284-8930 |
| Full Name | Edwin A Lee Md A Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 N Vermont Ave Ste 808, Los Angeles, California |
| Authorized Official Name and Position | Edwin A Lee (PRESIDENT) |
| Authorized Official Contact | 3236944900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin A Lee Md A Medical Corporation 1300 N Vermont Ave Ste 808 Los Angeles CA 90027-6091 Ph: (323) 694-4900 | Edwin A Lee Md A Medical Corporation 1300 N Vermont Ave Ste 808 Los Angeles CA 90027-6091 Ph: (323) 694-4900 |
| NPI Number | 1316416134 |
|---|---|
| Provider Enumeration Date | 11/21/2018 |
| Last Update Date | 08/10/2020 |
| Medicare PECOS PAC ID | 7517204860 |
|---|---|
| Medicare Enrollment ID | O20190124003389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316416134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Edwin A Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629244918 PECOS PAC ID: 8628112976 Enrollment ID: I20100224000529 |
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