Kelli Nicole Lem
Kelli Nicole Lem is a Physician Assistant in Marina del Rey, California. Qualified in 2016, 10 years ago. Practices with Sunrise Mountainview Multispecialty Clinics LLC, a 64-clinician group and accepts Medicare assignment. Licensed in California and Nevada.
- Years since qualifying
- 10
- Licensed in
- CA, NV
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
13900 Marquesas Way Apt 5417Marina del Rey, CA 90292-6076
Phone: (424) 208-4630
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA2010 (NV) |
|---|---|
| Urgent Care Clinic/Center | Taxonomy 261QU0200X · Licence 53766 (CA) |
Record details
| NPI number | 1598112062 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2016 |
| Last updated in NPPES | February 22, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Sunrise Mountainview Multispecialty Clinics Llc — 64 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |