| John K. Lee, M.d., Inc. | |
|
400 N Euclid St Fullerton CA 92832-1625 | |
| (714) 879-8700 | |
| (714) 879-1700 |
| Full Name | John K. Lee, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 N Euclid St, Fullerton, California |
| Authorized Official Name and Position | John K Lee (PRESIDENT) |
| Authorized Official Contact | 7148798700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John K. Lee, M.d., Inc. 400 N Euclid St Fullerton CA 92832-1625 Ph: (714) 879-8700 | John K. Lee, M.d., Inc. 400 N Euclid St Fullerton CA 92832-1625 Ph: (714) 879-8700 |
| NPI Number | 1619028131 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8527163948 |
|---|---|
| Medicare Enrollment ID | O20070413000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619028131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | John K Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598721284 PECOS PAC ID: 8628058542 Enrollment ID: I20040721001742 |
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