| Jay Pun Lee, PA-C | |
|
23785 El Toro Rd, Suite 609, Lake Forest, CA 92630-4762 | |
| (818) 349-9966 | |
| (818) 349-5615 |
| Full Name | Jay Pun Lee |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 23785 El Toro Rd, Lake Forest, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508881574 | NPI | - | NPPES |
| PA15457 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA15457 (California) | Primary |
| Entity Name | Desert Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114918612 PECOS PAC ID: 8123930427 Enrollment ID: O20031229000246 |
| Entity Name | Skilled Facility Health Care Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104018423 PECOS PAC ID: 9032299144 Enrollment ID: O20080102000273 |
| Entity Name | Anvar Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831539485 PECOS PAC ID: 4284875451 Enrollment ID: O20130731000072 |
| Entity Name | Doctornow |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861845802 PECOS PAC ID: 7517253214 Enrollment ID: O20210602000959 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Pun Lee, PA-C 23785 El Toro Rd, Suite 609, Lake Forest, CA 92630-4762 Ph: (818) 349-9966 | Jay Pun Lee, PA-C 23785 El Toro Rd, Suite 609, Lake Forest, CA 92630-4762 Ph: (818) 349-9966 |
Alex Chadwick Van Der Ham, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 26730 Towne Centre Dr Ste 204, Lake Forest, CA 92610 Phone: 949-380-1234 |
Oana-diana Popescu, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 24401 Muirlands Blvd Ste A, Lake Forest, CA 92630 Phone: 949-770-1950 |
Emily Kincaid, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24552 Raymond Way # 1330, Lake Forest, CA 92630 Phone: 949-421-7802 |
Scott Cummings Baron, P.A Physician Assistant Medicare: Medicare Enrolled Practice Location: 22855 Lake Forest Dr Ste A, Lake Forest, CA 92630 Phone: 949-452-7544 |
Stephanie Quilianna Fizzard, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 25902 Tipperary Ln, Lake Forest, CA 92630 Phone: 949-916-2924 |
Hye Won Park, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 30 Sorrel, Lake Forest, CA 92630 Phone: 714-788-1290 |
Katrina Wingco Spadafore, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 23653 El Toro Rd Ste B, Lake Forest, CA 92630 Phone: 949-317-0312 |