| Mark Joon Lee, PA-C | |
|
420 S Glendora Ave, West Covina, CA 91790-3001 | |
| (562) 928-9600 | |
| Not Available |
| Full Name | Mark Joon Lee |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 420 S Glendora Ave, West Covina, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669738225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA22095 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kevin J Pelton Md Inc | 3375625486 | 38 |
| Entity Name | East Valley Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831243625 PECOS PAC ID: 9234041765 Enrollment ID: O20050425000560 |
| Entity Name | Kevin J Pelton MD Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679771703 PECOS PAC ID: 3375625486 Enrollment ID: O20080129000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Joon Lee, PA-C 420 S Glendora Ave, West Covina, CA 91790-3001 Ph: (562) 928-9600 | Mark Joon Lee, PA-C 420 S Glendora Ave, West Covina, CA 91790-3001 Ph: (562) 928-9600 |
Steve Gichuru, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 409 E Merced Ave Ste A, West Covina, CA 91790 Phone: 625-931-0901 |
Mrs. Shannon Rivera, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-962-4011 |
Giselle Majan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 420 S Glendora Ave, West Covina, CA 91790 Phone: 626-919-4333 |
Ms. Miriam Ha, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 420 S Glendora Ave, West Covina, CA 91790 Phone: 626-919-4333 Fax: 626-919-8503 |
Lauren Carol O'neal, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-962-4011 |
Mario Corona, P-A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 714 N Orange Ave, West Covina, CA 91790 Phone: 323-265-3060 |
Gina M Liang, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 420 S Glendora Ave, West Covina, CA 91790 Phone: 909-620-8088 |