| Ray W Lee, MD | |
|
600 Marine Blvd, Moss Beach, CA 94038-9641 | |
| (650) 563-7107 | |
| Not Available |
| Full Name | Ray W Lee |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 600 Marine Blvd, Moss 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 |
|---|---|---|---|
| 1205913969 | NPI | - | NPPES |
| 930123436 | Other | VA | RRMCR |
| 5878501 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101232526 (Virginia) | Secondary |
| 207P00000X | Emergency Medicine | G66832 (California) | Primary |
| Entity Name | Sharp Rees-stealy Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996 |
| Entity Name | Foothill Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659683720 PECOS PAC ID: 7012033236 Enrollment ID: O20100924001115 |
| Entity Name | Nes Western Group A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487125019 PECOS PAC ID: 4587902952 Enrollment ID: O20190208002821 |
| Mailing Address | Practice Location Address |
|---|---|
| Ray W Lee, MD 17055 Grandee Way, San Diego, CA 92128-2125 Ph: (703) 282-0236 | Ray W Lee, MD 600 Marine Blvd, Moss Beach, CA 94038-9641 Ph: (650) 563-7107 |
Jhonjay Thomas Poindexter, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 Marine Blvd, Moss Beach, CA 94038 Phone: 650-728-5521 |