Provider Demographics
NPI:1568698348
Name:ACES PULMONARY CRITICAL CARE INC.
Entity Type:Organization
Organization Name:ACES PULMONARY CRITICAL CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:KHIN-ZAW
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-249-0818
Mailing Address - Street 1:1257 QUARRY LN
Mailing Address - Street 2:SUITE #150
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-8453
Mailing Address - Country:US
Mailing Address - Phone:925-249-0818
Mailing Address - Fax:925-249-0828
Practice Address - Street 1:1133 E STANLEY BLVD
Practice Address - Street 2:SUITE#117
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4200
Practice Address - Country:US
Practice Address - Phone:925-371-8885
Practice Address - Fax:925-371-8884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-06
Last Update Date:2009-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA73871174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH06189Medicare UPIN