| S. K. Medical Group Inc. | |
|
1418 S San Gabriel Blvd Ste C San Gabriel CA 91776-4605 | |
| (626) 293-1988 | |
| (626) 293-3368 |
| Full Name | S. K. Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1418 S San Gabriel Blvd Ste C, San Gabriel, California |
| Authorized Official Name and Position | Susie Yen Wong (OFFICE MANAGER) |
| Authorized Official Contact | 6262931988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S. K. Medical Group Inc. 1418 S San Gabriel Blvd Ste C San Gabriel CA 91776-4605 Ph: (626) 293-1988 | S. K. Medical Group Inc. 1418 S San Gabriel Blvd Ste C San Gabriel CA 91776-4605 Ph: (626) 293-1988 |
| NPI Number | 1831361237 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 11/30/2022 |
| Medicare PECOS PAC ID | 2062457955 |
|---|---|
| Medicare Enrollment ID | O20050621001337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831361237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Su K Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871510370 PECOS PAC ID: 8224162581 Enrollment ID: I20120223000430 |
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