| Kham Yang Lee, | |
|
90 W Ashlan Ave Ste 100, Clovis, CA 93612-5627 | |
| (559) 882-5596 | |
| Not Available |
| Full Name | Kham Yang Lee |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 90 W Ashlan Ave Ste 100, Clovis, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962862391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 91790 (California) | Primary |
| Entity Name | Exodus Recovery Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245441906 PECOS PAC ID: 2668467341 Enrollment ID: O20100107000614 |
| Mailing Address | Practice Location Address |
|---|---|
| Kham Yang Lee, 5357 E Geary St, Fresno, CA 93727-5280 Ph: (559) 777-0335 | Kham Yang Lee, 90 W Ashlan Ave Ste 100, Clovis, CA 93612-5627 Ph: (559) 882-5596 |
Linda Garcia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3114 Willow Ave Ste 102, Clovis, CA 93612 Phone: 559-428-3012 Fax: 559-475-8052 | |
Stacy Lynn Fazio, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 755 N Peach Ave Ste H14, Clovis, CA 93611 Phone: 555-999-7308 Fax: 559-712-6282 | |
Alison Tolladay, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1797 San Jose Ave, Clovis, CA 93611 Phone: 559-790-2271 | |
Mark David Mcomber, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 624 Woodworth Ave, Clovis, CA 93612 Phone: 559-297-6060 | |
Mrs. Jessie L. Robb, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 334 Shaw Ave, Suite 100, Clovis, CA 93612 Phone: 559-454-1819 Fax: 559-255-2930 | |
Mrs. Patricia L. Sweetman, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 264 Clovis Ave, Suite 104, Clovis, CA 93612 Phone: 559-930-2403 Fax: 559-255-7008 | |
Carol A. Merrick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 530 Dewitt, Suite 101, Clovis, CA 93612 Phone: 559-905-7295 |