| Kyi Lay San, MD | |
| 165 Saint Dominics Dr Ste 201, Manteca, CA 95337-7802 | |
| (209) 823-2345 | |
| (209) 239-1154 | 
| Full Name | Kyi Lay San | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 165 Saint Dominics Dr Ste 201, Manteca, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1851742118 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | A159779 (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 | 
|---|---|
| Kyi Lay San, MD 10470 Old Placerville Rd Ste 100, Sacramento, CA 95827-2539 Ph: (800) 470-0071 | Kyi Lay San, MD 165 Saint Dominics Dr Ste 201, Manteca, CA 95337-7802 Ph: (209) 823-2345 | 
| Vinisha Noti,  Internal Medicine Medicare: Medicare Enrolled Practice Location: 1777 W Yosemite Ave, Manteca, CA 95337 Phone: 209-825-3700 | |
| Karen A. Reardon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1079 Eucalyptus Street, Ste A, Manteca, CA 95337 Phone: 209-284-4561 Fax: 209-284-4562 | |
| Dr. Abdul Waheed Khan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1144 Norman Dr, Suite 205, Manteca, CA 95336 Phone: 209-824-1230 Fax: 209-823-2806 | |
| Dr. Glenmore Lasam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1148 Norman Dr Ste 3, Manteca, CA 95336 Phone: 209-824-1555 Fax: 209-464-2684 | |
| Lisa Michelle Gitthens Moses, RRT Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-824-5086 | |
| Eh Raymond Mu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000 | |
| Harbhajan Singh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1140 Norman Dr. #4, Manteca, CA 95336 Phone: 209-824-3158 Fax: 209-239-1725 |