Individual ProviderShanshan LeeStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1313 E Herndon Ave, Fresno, CA 93720-3306(559) 450-3000PECOS EnrollmentBased on the most recent information from CMS, provider Shanshan Lee is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194303248Provider TypeIndividualFull NameLee, ShanshanGenderFemaleSole ProprietorNoEnumeration Date3/31/2021Last Updated3/31/2021Contact InformationPractice LocationPractice Address1313 E Herndon Ave, Fresno, CA 93720-3306Phone(559) 450-3000FaxUnlisted FaxMailing LocationMailing Address1313 E Herndon Ave, Fresno, CA 93720-3306PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer