| Clarence Darryl Lee Jr, | |
|
3500 Lomita Blvd Ste 300, Torrance, CA 90505-5038 | |
| (310) 257-0028 | |
| Not Available |
| Full Name | Clarence Darryl Lee Jr |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 3500 Lomita Blvd Ste 300, Torrance, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285212837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A195836 (California) | Primary |
| Entity Name | The Regents Of The University Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Clarence Darryl Lee Jr, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707 | Clarence Darryl Lee Jr, 3500 Lomita Blvd Ste 300, Torrance, CA 90505-5038 Ph: (310) 257-0028 |
Katayoun K Mostafaie, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 21840 Normandie Ave, Ste. 700, Torrance, CA 90502 Phone: 310-222-5101 Fax: 310-320-5463 | |
Mark T. Munekata, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 21840 Normandie Ave, Ste. 700, Torrance, CA 90502 Phone: 310-222-5101 Fax: 310-320-5463 | |
Ella Ishaaya, General Practice Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-913-3890 | |
Michael Sassounian, General Practice Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-2345 | |
Eric P Brass, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 21840 Normandie Ave, Torrance, CA 90502 Phone: 310-222-5101 Fax: 310-320-5463 | |
Parivash Mohamadi, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 4305 Torrance Blvd Ste 500, Torrance, CA 90503 Phone: 310-370-5694 Fax: 310-214-6671 |