| Kristen Lew Md Medical Corporation | |
|
993 N Broadway Los Angeles CA 90012-1763 | |
| (909) 633-2999 | |
| Not Available |
| Full Name | Kristen Lew Md Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 993 N Broadway, Los Angeles, California |
| Authorized Official Name and Position | Kristen Lew (OWNER) |
| Authorized Official Contact | 9096332999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Lew Md Medical Corporation 1510 W Whittier Blvd # 88 La Habra CA 90631-3617 Ph: (909) 633-2999 | Kristen Lew Md Medical Corporation 993 N Broadway Los Angeles CA 90012-1763 Ph: (909) 633-2999 |
| NPI Number | 1417677386 |
|---|---|
| Provider Enumeration Date | 08/31/2022 |
| Last Update Date | 04/12/2023 |
| Medicare PECOS PAC ID | 5395115042 |
|---|---|
| Medicare Enrollment ID | O20221221002326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417677386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristen Lew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841617420 PECOS PAC ID: 0749402626 Enrollment ID: I20141108000079 |
| Provider Name | Dinh S Lai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093123176 PECOS PAC ID: 0244673044 Enrollment ID: I20240208002872 |
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