Individual ProviderAlexandria LeeStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address101 The City Drive, City Tower, Ste 400, Orange, CA 92868(714) 456-5691(626) 993-5199PECOS EnrollmentBased on the most recent information from CMS, provider Alexandria 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 yesterday at 9:43 AM.Profile DetailsProvider ID1689314338Provider TypeIndividualFull NameLee, AlexandriaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/30/2022Last Updated3/30/2022Contact InformationPractice LocationPractice Address101 The City Drive, City Tower, Ste 400, Orange, CA 92868Phone(714) 456-5691FaxUnlisted FaxMailing LocationMailing Address11077 Evans St, Loma Linda, CA 92354-2708Phone(626) 993-5199FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCalifornia