Provider Demographics
NPI:1801205703
Name:LEW MEDICAL
Entity Type:Organization
Organization Name:LEW MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-526-3118
Mailing Address - Street 1:960 HONEYWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-6921
Mailing Address - Country:US
Mailing Address - Phone:714-526-3118
Mailing Address - Fax:714-526-3105
Practice Address - Street 1:960 HONEYWOOD LN
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-6921
Practice Address - Country:US
Practice Address - Phone:714-526-3118
Practice Address - Fax:714-526-3105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAFE22445261QA0005X, 305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
No261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility