| Dr Thomas T, Lee, MD | |
|
4950 San Bernardino St, Ste #106, Montclair, CA 91763-2328 | |
| (909) 450-5000 | |
| (909) 621-6735 |
| Full Name | Dr Thomas T, Lee |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 4950 San Bernardino St, Montclair, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942304373 | NPI | - | NPPES |
| GR0051992 | Medicaid | CA | |
| GR0051991 | Medicaid | CA | |
| GR0051990 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A37294 (California) | Primary |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Entity Name | 123 Medical Group Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588029771 PECOS PAC ID: 9931407145 Enrollment ID: O20160420002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas T, Lee, MD 4950 San Bernardino St, Ste #106, Montclair, CA 91763-2328 Ph: (909) 450-5000 | Dr Thomas T, Lee, MD 4950 San Bernardino St, Ste #106, Montclair, CA 91763-2328 Ph: (909) 450-5000 |
Corazon S Navarro, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4950 San Bernardino St Ste 106, Montclair, CA 91763 Phone: 909-625-9063 | |
Norman L. Lamberty, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5153 Holt Blvd Ste B2, Montclair, CA 91763 Phone: 909-575-0055 Fax: 855-437-1577 |