| Leslie Lee, M.d., A Professional Medical Corporation | |
|
150 S Raymond Ave Alhambra CA 91801-3166 | |
| (626) 300-0008 | |
| Not Available |
| Full Name | Leslie Lee, M.d., A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 150 S Raymond Ave, Alhambra, California |
| Authorized Official Name and Position | Leslie Lee (OWNER) |
| Authorized Official Contact | 6263000008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Lee, M.d., A Professional Medical Corporation 150 S Raymond Ave Alhambra CA 91801-3166 Ph: (626) 300-0008 | Leslie Lee, M.d., A Professional Medical Corporation 150 S Raymond Ave Alhambra CA 91801-3166 Ph: (626) 300-0008 |
| NPI Number | 1912052275 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/25/2023 |
| Medicare PECOS PAC ID | 8123913548 |
|---|---|
| Medicare Enrollment ID | O20040216000934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912052275 | NPI | - | NPPES |
| W16871A | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207T00000X | Neurological Surgery | A062246 (California) | Secondary |
| Provider Name | Leslie Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790830156 PECOS PAC ID: 2567357973 Enrollment ID: I20040216001016 |
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