| Vivian En-jou Lee, PT, DPT | |
|
1600 Main St Fl 2, Venice, CA 90291-3626 | |
| (888) 859-0145 | |
| Not Available |
| Full Name | Vivian En-jou Lee |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 1600 Main St Fl 2, Venice, 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 |
|---|---|---|---|
| 1881290435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT298758 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| California Luna Care Physical Therapy Pc | 9638427834 | 626 |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| 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 |
|---|---|
| Vivian En-jou Lee, PT, DPT 7157 Logsdon Dr, Eastvale, CA 92880-3813 Ph: (949) 266-4602 | Vivian En-jou Lee, PT, DPT 1600 Main St Fl 2, Venice, CA 90291-3626 Ph: (888) 859-0145 |
Dr. Susan Stich, DR Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 933 Venezia Ave, Venice, CA 90291 Phone: 310-849-7746 | |
Mr. Renwick Yoshio Maeda, PT MPT OCS GCFP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Main St Fl 2, Venice, CA 90291 Phone: 888-859-0145 | |
Ms. Melanie Goya, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Main St Fl 2, Venice, CA 90291 Phone: 888-859-0145 | |
Andrew Gabriel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Main St Fl 2, Venice, CA 90291 Phone: 888-859-0145 | |
Dr. Kyle Reed Iguchi, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Main St Fl 2, Venice, CA 90291 Phone: 888-859-0145 | |
Dr. Casey Tarpey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1600 Main St Fl 2, Venice, CA 90291 Phone: 888-859-0145 Fax: 888-858-1601 | |
Kinetiq Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Navy St, Venice, CA 90291 Phone: 773-715-1548 |