Brian D Fong, MD | |
1300 W 7th St, San Pedro, CA 90732-3505 | |
(310) 514-5350 | |
(310) 514-5421 |
Full Name | Brian D Fong |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 29 Years |
Location | 1300 W 7th St, San Pedro, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033141676 | NPI | - | NPPES |
00A681520 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A68152 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Little Co Of Mary Med Ctr San Pedro | San pedro, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Emergency Medical Group | 4688097066 | 17 |
Entity Name | St Jude Emergency Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720190804 PECOS PAC ID: 8224923479 Enrollment ID: O20040217001064 |
Entity Name | Stephen R Shea Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942239033 PECOS PAC ID: 7416854377 Enrollment ID: O20040422001706 |
Entity Name | Southern California Emergency Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518588433 PECOS PAC ID: 4688097066 Enrollment ID: O20200701001805 |
Mailing Address | Practice Location Address |
---|---|
Brian D Fong, MD Po Box 661360, Arcadia, CA 91066-1360 Ph: (626) 447-0296 | Brian D Fong, MD 1300 W 7th St, San Pedro, CA 90732-3505 Ph: (310) 514-5350 |
Dr. Arlene Marie Vernon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W 7th St, San Pedro, CA 90732 Phone: 310-514-5350 Fax: 310-514-5421 | |
Dr. Jeffrey Paul Dayton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W 7th St, San Pedro, CA 90732 Phone: 310-514-5350 Fax: 310-514-5421 | |
Dr. Usha Rani K. Reddy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W 7th St, San Pedro, CA 90732 Phone: 310-514-5350 Fax: 310-514-5421 | |
Dr. Mark H. Joyner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W 7th St, Emergency Department, San Pedro, CA 90732 Phone: 310-514-5350 Fax: 310-514-5421 | |
Ronnie Lee Melendez, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W 7th St, San Pedro, CA 90732 Phone: 310-514-5350 Fax: 310-514-5421 | |
Karla Sonnier, NP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1300 W 7th St, San Pedro, CA 90732 Phone: 310-832-3311 |