| Stacy Lee, | |
|
3630 E Imperial Hwy, Lynwood, CA 90262-2609 | |
| (310) 900-8900 | |
| Not Available |
| Full Name | Stacy Lee |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 3630 E Imperial Hwy, Lynwood, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477261857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 62009 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Lynwood, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Emergency Medical Group | 4688097066 | 24 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Entity Name | Southern California Emergency Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518588433 PECOS PAC ID: 4688097066 Enrollment ID: O20200701001805 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Lee, 3630 E Imperial Hwy, Lynwood, CA 90262-2609 Ph: (310) 900-8900 | Stacy Lee, 3630 E Imperial Hwy, Lynwood, CA 90262-2609 Ph: (310) 900-8900 |
Monica Oviedo, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3630 East Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-8900 |
Mr. Duy Tu Doan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10007 State Street, Lynwood, CA 90262 Phone: 323-566-3157 Fax: 323-566-2676 |
Donald Plong, MS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11215 Long Beach Blvd, Lynwood, CA 90262 Phone: 310-638-4100 |
Mr. Teejay Cacpal Rull, PA-C, MPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3630 E Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-8900 |
Ms. Judith Smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3737 Martin Luther King Jr Blvd, Suite 106, Lynwood, CA 90262 Phone: 310-637-0318 Fax: 310-637-6722 |
Mr. Chau Ngo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3630 E Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-8900 |
Michelle June Lee, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3630 E Imperial Hwy, Lynwood, CA 90262 Phone: 310-900-2727 |