| Dr Kenneth Lee, MD | |
|
12360 Firestone Blvd, Norwalk, CA 90650-4324 | |
| (562) 867-7999 | |
| Not Available |
| Full Name | Dr Kenneth Lee |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 12360 Firestone Blvd, Norwalk, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831149475 | NPI | - | NPPES |
| 00A534210 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A53421 (California) | Primary |
| Entity Name | Jwch Institute Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407808058 PECOS PAC ID: 1850394123 Enrollment ID: O20060807000476 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Lee, MD 12360 Firestone Blvd, Norwalk, CA 90650-4324 Ph: (562) 867-7999 | Dr Kenneth Lee, MD 12360 Firestone Blvd, Norwalk, CA 90650-4324 Ph: (562) 867-7999 |
Chi Minh Vu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11401 S Bloomfield Ave, Norwalk, CA 90650 Phone: 562-863-7011 Fax: 562-864-4560 |
Dr. Thomas Sean William Petit, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10937 Firestone Blvd, Norwalk, CA 90650 Phone: 562-262-2111 |
Nathapet Srinivasan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 13100 Studebaker Rd, Norwalk, CA 90650 Phone: 951-244-4147 Fax: 951-244-0747 |
Raymond Ceguerra Flores, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11401 South Bloomfield Avenue, Norwalk, CA 90650 Phone: 562-863-7011 Fax: 562-864-4560 |
Parvaneh Pourdihimi Zolnouni, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11401 South Bloomfield Avenue, Norwalk, CA 90650 Phone: 562-863-7011 Fax: 562-864-4560 |
Hung Canh Phan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11401 Bloomfield Ave, Norwalk, CA 90650 Phone: 562-863-7011 |
Dr. Prode P Pascual, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13222 Bloomfield Ave, Norwalk, CA 90650 Phone: 562-508-7123 Fax: 888-675-3950 |