| Kristen Lee Od, A Professional Corporation | |
|
21739 Avalon Blvd, Carson, CA 90745-3302 | |
| (310) 513-6900 | |
| (310) 513-1445 |
| Full Name | Kristen Lee Od, A Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 21739 Avalon Blvd, Carson, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023315447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 13040T (California) | Primary |
| Provider Name | Kristen A Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972512127 PECOS PAC ID: 3971605767 Enrollment ID: I20070226000313 |
| Provider Name | Mark A Malit |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942681424 PECOS PAC ID: 2769792084 Enrollment ID: I20151117000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Lee Od, A Professional Corporation 21739 Avalon Blvd, Carson, CA 90745-3302 Ph: (310) 513-6900 | Kristen Lee Od, A Professional Corporation 21739 Avalon Blvd, Carson, CA 90745-3302 Ph: (310) 513-6900 |
Minh Tang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21739 S. Avalon Blvd, Carson, CA 90745 Phone: 310-513-6900 Fax: 310-513-1445 | |
Christine Jaein Hur, OD Optometrist Medicare: Medicare Enrolled Practice Location: 22015 Avalon Blvd, Carson, CA 90745 Phone: 310-830-7584 | |
Dr. Angelica G. Salamanca, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21739 Avalon Blvd, Carson, CA 90745 Phone: 310-513-6900 Fax: 310-513-1445 | |
Dr. Robert Reiner, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21739 S Avalon Blvd, Carson, CA 90745 Phone: 310-513-6900 Fax: 310-513-1445 | |
Dr. Jeffrey Thomas Overbey, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 So. Bay Pavilion Mall, 20700 S. Avalon Blvd. #100, Carson, CA 90746 Phone: 310-327-0545 Fax: 310-327-0545 | |
Dr. Andrea Quimpo Magbanua, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 171 W 223rd St Apt 6, Carson, CA 90745 Phone: 310-592-9700 |