| Conan H Lee, PT | |
|
1784 Grain Mill Rd, San Marcos, CA 92078-1090 | |
| (858) 361-5599 | |
| Not Available |
| Full Name | Conan H Lee |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 27 Years |
| Location | 1784 Grain Mill Rd, San Marcos, 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 |
|---|---|---|---|
| 1629096102 | NPI | - | NPPES |
| WPT23843B | Other | PPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT23843 (California) | Primary |
| 2251X0800X | Physical Therapist - Orthopedic | PT23843 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| California Luna Care Physical Therapy Pc | 9638427834 | 626 |
| Provider Name | California Luna Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Mailing Address | Practice Location Address |
|---|---|
| Conan H Lee, PT 1784 Grain Mill Rd, San Marcos, CA 92078-1090 Ph: (760) 891-0601 | Conan H Lee, PT 1784 Grain Mill Rd, San Marcos, CA 92078-1090 Ph: (858) 361-5599 |
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