| Mr Paul Lee, PA-C | |
|
400 East Oak Street, Visalia, CA 93291-5034 | |
| (559) 741-4500 | |
| (559) 741-4502 |
| Full Name | Mr Paul Lee |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 400 East Oak Street, Visalia, 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 |
|---|---|---|---|
| 1043474737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 19803 (California) | Secondary |
| 363A00000X | Physician Assistant | PA19803 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul Lee, PA-C 305 East Center Ave., Visalia, CA 93291-6331 Ph: (595) 737-4700 | Mr Paul Lee, PA-C 400 East Oak Street, Visalia, CA 93291-5034 Ph: (559) 741-4500 |
Manivanh M Baum, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 East Oak Street, Visalia, CA 93291 Phone: 559-741-4500 Fax: 559-741-4502 |
Alex Attiku, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 337 N Plaza Dr, Visalia, CA 93291 Phone: 559-366-7177 Fax: 866-421-1361 |
Mr. Rian K Zuniga, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 East Oak Street, Visalia, CA 93291 Phone: 559-741-4500 Fax: 559-741-4502 |
Ms. Rosanna J Carrillo, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 137 S Aspen Ct Ste A, Visalia, CA 93291 Phone: 559-334-6720 Fax: 559-429-8240 |
Jillian Leigh Duffus Yohannes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-2000 |
Diana Sandoval-venegas Hoang, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-2000 |
William Barreto, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 East Oak Street, Visalia, CA 93291 Phone: 559-741-4500 Fax: 559-741-4502 |