| Medex Medical Group Inc | |
|
127-b W Las Tunas Dr. San Gabriel CA 91776 | |
| (626) 457-8600 | |
| Not Available |
| Full Name | Medex Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 127-b W Las Tunas Dr., San Gabriel, California |
| Authorized Official Name and Position | Le-young Lee (OWNER) |
| Authorized Official Contact | 6264578600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medex Medical Group Inc 127-b W Las Tunas Dr. San Gabriel CA 91776 Ph: (626) 457-8600 | Medex Medical Group Inc 127-b W Las Tunas Dr. San Gabriel CA 91776 Ph: (626) 457-8600 |
| NPI Number | 1063445435 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 04/17/2015 |
| Medicare PECOS PAC ID | 5395635932 |
|---|---|
| Medicare Enrollment ID | O20040317001497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063445435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G77879 (California) | Primary |
| Provider Name | Le-young Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861417586 PECOS PAC ID: 3274423819 Enrollment ID: I20101122001366 |
| Provider Name | Julia Chaw Chih Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891899456 PECOS PAC ID: 4385822105 Enrollment ID: I20110627000618 |
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