MEDICARE: KENNETH LEE MD

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	:	1184067852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH LEE MD

Provider Business Mailing Address
First Line	:	331 HAWK RIDGE DR
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94806-5819
Country	:	US
Telephone Number	:	714-396-9026
Fax Number	:

Provider Business Practice Location Address
First Line	:	331 HAWK RIDGE DR
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94806-5819
Country	:	US
Telephone Number	:	714-396-9026
Fax Number	:

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

Provider Enumeration Date	:	04/12/2013
Last Update Date	:	12/17/2021

Similar Medicare Providers

1548079387 — PATCHES WEST LLC
Practice Location Address:

7830 W GRAND PKWY S STE 150
RICHMOND, TX
77406-5819

Practice Phone: 346-826-0800
Practice Fax:

1447743174 — STARLINK SURGERY CENTER, LLC
Practice Location Address:

7830 W GRAND PKWY S STE 150
RICHMOND, TX
77406-5819

Practice Phone: 832-500-3749
Practice Fax: 888-965-1819

1699311936 — GRAND PARKWAY SURGICAL INSTITUTE LLC
Practice Location Address:

7830 W GRAND PKWY S STE 150
RICHMOND, TX
77406-5819

Practice Phone: 281-456-4188
Practice Fax: 833-692-0041

1114929437 — JACKSON MEDICAL SERVICES
Practice Location Address:

2930B HILLTOP MALL RD
RICHMOND, CA
94806-1902

Practice Phone: 510-222-1075
Practice Fax: 510-222-1575

1174528590 — STEFAN MOICEANU D.D.S.
Practice Location Address:

2970 HILLTOP MALL RD , STE 211
RICHMOND, CA
94806-1949

Practice Phone: 510-758-7222
Practice Fax: 510-758-7741

1629021365 — DR. VLADIMIR BOKARIUS M.D., PH.D., L.AC
Practice Location Address:

3260 BLUME DR STE 450
RICHMOND, CA
94806-5203

Practice Phone: 415-787-4667
Practice Fax: 415-787-4667

Directions to “ KENNETH LEE MD” 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 © 2007-2025 (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.