| Kevin Neal Teehee, MD | |
|
111 N Sepulveda Blvd, Manhattan Beach, CA 90266-6861 | |
| (805) 310-2134 | |
| (310) 379-4856 |
| Full Name | Kevin Neal Teehee |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 111 N Sepulveda Blvd, Manhattan Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851375521 | NPI | - | NPPES |
| 00A691350 | Medicaid | CA | |
| A69135 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A69135 (California) | Primary |
| 207P00000X | Emergency Medicine | A69135 (California) | Secondary |
| Entity Name | Providence Facey Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
| Entity Name | Valley Presbyterian Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033133103 PECOS PAC ID: 1951308105 Enrollment ID: O20061031000344 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Neal Teehee, MD 111 N Sepulveda Blvd, Manhattan Beach, CA 90266-6861 Ph: (805) 310-2134 | Kevin Neal Teehee, MD 111 N Sepulveda Blvd, Manhattan Beach, CA 90266-6861 Ph: (805) 310-2134 |
Dr. Jon Charles Malachowski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-376-6262 Fax: 310-376-8228 | |
Dr. Vidya Kiani Ramesh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 400 S Sepulveda Blvd, Suite 100, Manhattan Beach, CA 90266 Phone: 800-780-1230 | |
Keyvan Hariri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-376-6262 Fax: 310-376-8228 | |
Usha Raval, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-376-6262 Fax: 310-376-8228 | |
David L Austin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2501 N Sepulveda Blvd Ste 100, Manhattan Beach, CA 90266 Phone: 310-546-4599 Fax: 310-796-4941 | |
Maria Lui, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Manhattan Beach Blvd, Suite 102, Manhattan Beach, CA 90266 Phone: 310-939-7858 Fax: 310-939-7842 | |
Lee Kissel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Manhattan Beach Blvd, Suite 102, Manhattan Beach, CA 90266 Phone: 310-939-7858 Fax: 310-939-7842 |