| Leslie Young, MD | |
|
4447 Candlewood St, Lakewood, CA 90712-1736 | |
| (657) 241-9935 | |
| (657) 276-4736 |
| Full Name | Leslie Young |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 4447 Candlewood St, Lakewood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629127972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A73521 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Memorialcare Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Young, MD 4447 Candlewood St, Lakewood, CA 90712-1736 Ph: (657) 241-9935 | Leslie Young, MD 4447 Candlewood St, Lakewood, CA 90712-1736 Ph: (657) 241-9935 |
Kit H Lee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3300 E South St, 204, Lakewood, CA 90805 Phone: 562-602-1733 Fax: 562-602-2337 | |
Jose Mendoza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5750 Downey Ave, Suite 204, Lakewood, CA 90712 Phone: 562-531-4362 Fax: 562-531-2169 | |
Dr. Bothyna Fayed Sedrak, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3650 South St, Suite 209, Lakewood, CA 90712 Phone: 562-634-1254 | |
Arlene Francisco-hugh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3650 E. South St., Suite 204, Lakewood, CA 90712 Phone: 562-602-8841 Fax: 562-602-8843 |