Kimberly Lee (NPI# 1578948089, PAC ID# 6103126800) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1578948089 |
| PAC ID by PECOS | 6103126800 |
| Professional Enrollment ID | I20180124002945 |
| Full Name | Kimberly Lee |
| Organization Legal Name | SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER INC |
| Address |
3703 Camino Del Rio S Suite 210 San Diego CA 92108-4033 |
| Phone Number | 619640555522 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3779577713 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050026 | GROSSMONT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 | 619640555522 | SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER INC |
| Organization Legal Name | SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lovella Tan Medilo | Nurse Practitioner | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| Sharron L Thompson | Physical Medicine and Rehabilitation | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| Sandip J Madhav | Physical Medicine and Rehabilitation | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| David J Smith | Pain Management | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| Alex Joseph Crotteau | Nurse Practitioner | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| Ehatsham Ahmad | Pain Management | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| Robert John Long | Nurse Practitioner | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| Harold Frank | Physician Assistant | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| Street Address |
3703 CAMINO DEL RIO S SUITE 210 |
| City | SAN DIEGO |
| State | CA |
| Zip | 92108-4033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lovella Tan Medilo | Nurse Practitioner | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| Sharron L Thompson | Physical Medicine and Rehabilitation | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| Sandip J Madhav | Physical Medicine and Rehabilitation | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| David J Smith | Pain Management | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| Alex Joseph Crotteau | Nurse Practitioner | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| Ehatsham Ahmad | Pain Management | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| Robert John Long | Nurse Practitioner | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| Harold Frank | Physician Assistant | San Diego Comprehensive Pain Management Center Inc | 3703 Camino Del Rio S, Suite 210, San Diego, CA 92108-4033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Mccarter | Psychologist, Clinical | Psychiatric Centers At San Diego, Inc. Med Grp | 5353 Mission Ctr Rd, Suite 224, San Diego, CA 92108-1304 |
| Lauren Fernberg | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Manuel Robert Brasley | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Nicole Murphy | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Shawn Laird | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Grant Meyer | Internal Medicine | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Pouya Afshar | Hospitalist | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 | |
| Anand N Patel | Internal Medicine | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Neal Allan Dunitz | Internal Medicine | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Manuel Moreno | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Find all physicians in zip 92108 | |||
| City | SAN DIEGO |
| Zip Code | 92108 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAN DIEGO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.