| Kenneth W Lee & Associates Inc | |
|
160 E Artesia St Suite 140 Pomona CA 91767-2900 | |
| (909) 622-3800 | |
| (909) 622-2600 |
| Full Name | Kenneth W Lee & Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 160 E Artesia St, Pomona, California |
| Authorized Official Name and Position | Kenneth W Lee (PRESIDENT) |
| Authorized Official Contact | 9095173501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth W Lee & Associates Inc Po Box 1306 Upland CA 91785-1306 Ph: (909) 622-3800 | Kenneth W Lee & Associates Inc 160 E Artesia St Suite 140 Pomona CA 91767-2900 Ph: (909) 622-3800 |
| NPI Number | 1063710408 |
|---|---|
| Provider Enumeration Date | 03/09/2011 |
| Last Update Date | 11/15/2011 |
| Medicare PECOS PAC ID | 5698944312 |
|---|---|
| Medicare Enrollment ID | O20110812000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063710408 | NPI | - | NPPES |
| 00A694880 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A79488 (California) | Primary |
| Provider Name | Kenneth W Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417023227 PECOS PAC ID: 0840228771 Enrollment ID: I20050801000904 |
| Provider Name | Yasmin F Qasim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447321344 PECOS PAC ID: 6204978596 Enrollment ID: I20100125000716 |
| Provider Name | Ellie Lekov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033266788 PECOS PAC ID: 1052444148 Enrollment ID: I20100726000616 |
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