Michael Sutherland Lee | San Diego, CA • PECOS Search

Michael Sutherland Lee

Pediatrics

Allopathic & Osteopathic Physicians

3020 Childrens Way # Mc5124, San Diego, CA 92123-4223

PECOS Enrollment

Based on the most recent information from CMS, provider Michael Sutherland Lee does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1245980408
Provider Type
Individual
Full Name
Lee, Michael Sutherland
Credential
MD, PHD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/28/2022
Last Updated
3/21/2023

Contact Information

Practice Location

3020 Childrens Way # Mc5124, San Diego, CA 92123-4223

Unlisted Fax

Mailing Location

3020 Childrens Way # Mc5124, San Diego, CA 92123-4223

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License 8696 California