| Miss Cynthia Lee, | |
|
2037 Verdugo Blvd, Montrose, CA 91020-1626 | |
| (818) 248-8018 | |
| Not Available |
| Full Name | Miss Cynthia Lee |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2037 Verdugo Blvd, Montrose, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215213798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20909 (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 | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Entity Name | Minuteclinic Diagnostic Medical Group Of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Cynthia Lee, 2037 Verdugo Blvd, Montrose, CA 91020-1626 Ph: (818) 248-8018 | Miss Cynthia Lee, 2037 Verdugo Blvd, Montrose, CA 91020-1626 Ph: (818) 248-8018 |
Lera Sauppe, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2037 Verdugo Blvd, Montrose, CA 91020 Phone: 866-389-2727 | |
Jonathan Tran, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2037 Verdugo Blvd, Montrose, CA 91020 Phone: 866-389-2727 Fax: 401-216-3854 | |
Matthew R Mullins, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2037 Verdugo Blvd, Montrose, CA 91020 Phone: 866-389-2727 | |
Soseh Babayan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2048 Montrose Ave, Montrose, CA 91020 Phone: 818-957-2224 | |
Elena Khavshaba, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2621 Honolulu Ave, Montrose, CA 91020 Phone: 818-726-7220 | |
Mrs. Kellie Toshiye Lopez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2103 Montrose Avenue Suite D, Montrose, CA 91020 Phone: 818-319-3911 |