| Jennie Elizabeth Lee, MD | |
|
395 Hickey Blvd Fl 2, Daly City, CA 94015-2770 | |
| (650) 301-4580 | |
| Not Available |
| Full Name | Jennie Elizabeth Lee |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 395 Hickey Blvd Fl 2, Daly City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558627901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A128520 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennie Elizabeth Lee, MD 395 Hickey Blvd Fl 2, Daly City, CA 94015-2770 Ph: (650) 301-4580 | Jennie Elizabeth Lee, MD 395 Hickey Blvd Fl 2, Daly City, CA 94015-2770 Ph: (650) 301-4580 |
Charito P. Sico, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-742-2050 | |
Ofelia Ofrecio Maristela, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Campus Dr, Suite 210, Daly City, CA 94015 Phone: 650-994-3000 | |
Esther Jin Kim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 380 90th St, Daly City, CA 94015 Phone: 650-573-2222 | |
Laura A. Prager, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-742-2000 | |
Janice W Gilless, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Campus Dr, Daly City, CA 94015 Phone: 650-652-8720 | |
Alice Breder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Campus Dr, Daly City, CA 94015 Phone: 650-652-8720 Fax: 650-994-1126 | |
Dawn M. Belardinelli, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-742-2000 |