| Hanson T Lee Md, Inc | |
|
612 W Duarte Rd Suite 502 Arcadia CA 91007-7602 | |
| (626) 821-2076 | |
| (626) 821-0129 |
| Full Name | Hanson T Lee Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 612 W Duarte Rd, Arcadia, California |
| Authorized Official Name and Position | Hanson Tsung-han Lee (PRESIDENT) |
| Authorized Official Contact | 6268212076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanson T Lee Md, Inc 612 W Duarte Rd Suite 502 Arcadia CA 91007-7602 Ph: (626) 821-2076 | Hanson T Lee Md, Inc 612 W Duarte Rd Suite 502 Arcadia CA 91007-7602 Ph: (626) 821-2076 |
| NPI Number | 1114024346 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9234144536 |
|---|---|
| Medicare Enrollment ID | O20060207001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114024346 | NPI | - | NPPES |
| DE5763 | Other | CA | RAILROAD MEDICARE |
| 00A714570 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A71457 (California) | Primary |
| Provider Name | Hanson T Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730181116 PECOS PAC ID: 1456331107 Enrollment ID: I20040722000956 |
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