| Shu May Lee, M.d., Inc. | |
|
1800 Sullivan Ave Suite 105 Daly City CA 94015-2228 | |
| (650) 755-2690 | |
| (650) 755-2606 |
| Full Name | Shu May Lee, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1800 Sullivan Ave, Daly City, California |
| Authorized Official Name and Position | Shu May Lee (PRESIDENT) |
| Authorized Official Contact | 6507552690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shu May Lee, M.d., Inc. 1800 Sullivan Ave Suite 105 Daly City CA 94015-2228 Ph: (650) 755-2690 | Shu May Lee, M.d., Inc. 1800 Sullivan Ave Suite 105 Daly City CA 94015-2228 Ph: (650) 755-2690 |
| NPI Number | 1396920211 |
|---|---|
| Provider Enumeration Date | 01/09/2008 |
| Last Update Date | 01/09/2008 |
| Medicare PECOS PAC ID | 3577574391 |
|---|---|
| Medicare Enrollment ID | O20060508001007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396920211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A638819 (California) | Primary |
| Provider Name | Shu M Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689614992 PECOS PAC ID: 2062300155 Enrollment ID: I20040309001423 |
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