MEDICARE: MACKENZIE CHUNTING LEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1063371847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MACKENZIE CHUNTING LEE

Provider Business Mailing Address
First Line	:	14010 ALTA VISTA AVE
Second Line	:
City	:	SARATOGA
State	:	CA
Zip	:	95070-5422
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 POTRERO AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-3518
Country	:	US
Telephone Number	:	628-206-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

Similar Medicare Providers

1457855447 — YOLANDA TINAJERO MD
Practice Location Address:

1001 POTRERO AVE # 6D
SAN FRANCISCO, CA
94110-3518

Practice Phone: 415-206-4069
Practice Fax:

1730048711 — CATHERINE DUBOIS
Practice Location Address:

1001 POTRERO AVE
SAN FRANCISCO, CA
94110-3518

Practice Phone: 628-271-7735
Practice Fax:

1861774754 — MRS. TINA WONG PHARM. D
Practice Location Address:

1001 POTRERO AVE # 1P4
SAN FRANCISCO, CA
94110-3518

Practice Phone: 628-206-8178
Practice Fax:

1598769002 — DR. NEDA RATANAWONGSA MD
Practice Location Address:

1001 POTRERO AVE , 1M GENERAL MEDICINE CLINIC
SAN FRANCISCO, CA
94110-3518

Practice Phone: 410-206-8494
Practice Fax: 415-206-6115

1689674988 — MS. COLLEEN MARIE WITTE RN MS ANP
Practice Location Address:

1001 POTRERO AVE , BLDG. 9, ROOM 115
SAN FRANCISCO, CA
94110-3518

Practice Phone: 415-206-2649
Practice Fax: 415-206-6073

1750370904 — MS. JANE M. PERLAS FNP-C
Practice Location Address:

1001 POTRERO AVE , 5H6
SAN FRANCISCO, CA
94110-3518

Practice Phone: 415-206-6876
Practice Fax: 415-206-3053

Directions to “ MACKENZIE CHUNTING LEE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.