Michelle Su Jin Lee, | |
9353 Imperial Hwy, Downey, CA 90242-2812 | |
(833) 574-2273 | |
Not Available |
Full Name | Michelle Su Jin Lee |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 9353 Imperial Hwy, Downey, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154832640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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235Z00000X | Speech-language Pathologist | 33224 (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Michelle Su Jin Lee, 1261 N Gilbert St Apt 147, Fullerton, CA 92833-5028 Ph: () - | Michelle Su Jin Lee, 9353 Imperial Hwy, Downey, CA 90242-2812 Ph: (833) 574-2273 |
Deborah Bezonsky, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7860 Imperial Hwy, #c, Downey, CA 90242 Phone: 562-869-8525 Fax: 562-866-7786 | |
Kristine Joan Parker, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9353 Imperial Hwy, 3rd Floor, Downey, CA 90242 Phone: 562-657-4909 Fax: 562-657-2937 | |
Alex Thayil Thomas, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12023 Lakewood Blvd, Downey, CA 90242 Phone: 562-869-0978 | |
Wendy Burton, CCC-SP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-385-7685 | |
William Sena, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-385-7689 | |
Mrs. Amy Yan Wang, M.A. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 9449 Imperial Hwy, Speech Therapy, Garden, 3rd Floor, Downey, CA 90242 Phone: 562-657-4908 |