| Homer Kam Yun Lew,d.o.,a Medical Corporation | |
|
23521 Paseo De Valencia Ste 108 Laguna Hills CA 92653-3137 | |
| (949) 588-7262 | |
| (949) 588-7260 |
| Full Name | Homer Kam Yun Lew,d.o.,a Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 23521 Paseo De Valencia Ste 108, Laguna Hills, California |
| Authorized Official Name and Position | Homer Kam Yun Lew (PHYSICIAN) |
| Authorized Official Contact | 9495887262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homer Kam Yun Lew,d.o.,a Medical Corporation 23521 Paseo De Valencia Ste 108 Laguna Hills CA 92653-3137 Ph: (949) 588-7262 | Homer Kam Yun Lew,d.o.,a Medical Corporation 23521 Paseo De Valencia Ste 108 Laguna Hills CA 92653-3137 Ph: (949) 588-7262 |
| NPI Number | 1326079369 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 12/07/2007 |
| Medicare PECOS PAC ID | 7719991199 |
|---|---|
| Medicare Enrollment ID | O20060206000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326079369 | NPI | - | NPPES |
| 00AX71560 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A7156 (California) | Primary |
| Provider Name | Homer K Lew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154452142 PECOS PAC ID: 4981665627 Enrollment ID: I20041025001232 |
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