| John C. Lee, M.d., Inc. | |
|
207 S Santa Anita Ave Suite G-18 San Gabriel CA 91776-1146 | |
| (626) 282-6989 | |
| (626) 282-7389 |
| Full Name | John C. Lee, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 207 S Santa Anita Ave, San Gabriel, California |
| Authorized Official Name and Position | John C. Lee (PRESIDENT) |
| Authorized Official Contact | 6262826989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John C. Lee, M.d., Inc. 207 S Santa Anita Ave Suite G-18 San Gabriel CA 91776-1146 Ph: (626) 282-6989 | John C. Lee, M.d., Inc. 207 S Santa Anita Ave Suite G-18 San Gabriel CA 91776-1146 Ph: (626) 282-6989 |
| NPI Number | 1487827929 |
|---|---|
| Provider Enumeration Date | 04/04/2008 |
| Last Update Date | 01/02/2009 |
| Medicare PECOS PAC ID | 4183794126 |
|---|---|
| Medicare Enrollment ID | O20080603000713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487827929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A37292 (California) | Primary |
| Provider Name | Che-chern C Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609816917 PECOS PAC ID: 9335101914 Enrollment ID: I20041027000709 |
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