Chuong Michael Van Dang, MD | |
9961 Sierra Ave, Fontana, CA 92335-6720 | |
(909) 427-7650 | |
Not Available |
Full Name | Chuong Michael Van Dang |
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Gender | Male |
Speciality | Radiology - Body Imaging |
Location | 9961 Sierra Ave, Fontana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740357565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085B0100X | Radiology - Body Imaging | G63728 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Chuong Michael Van Dang, MD 393 E Walnut St, Phr Group Provider Enrollment Unit 3rd Fl, Pasadena, CA 91188-0001 Ph: (877) 608-0044 | Chuong Michael Van Dang, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-7650 |
Edmond Yang, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Monica Lau Leung, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Dip S. Sidhu, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
John D Tucker, Radiology Medicare: Medicare Enrolled Practice Location: 9985 Sierra Ave, Bldg. #3, Dept. Of Radiology, Fontana, CA 92335 Phone: 909-427-7649 | |
Vicente Pierantoni, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 Fax: 626-405-6768 | |
Jon Pin Lee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Sam K. Kim, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |