Dr Jimmy Chanbonpin, MD | |
1654 S El Molino Ave, San Marino, CA 91108-1701 | |
(626) 285-5700 | |
(626) 285-0700 |
Full Name | Dr Jimmy Chanbonpin |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1654 S El Molino Ave, San Marino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699859520 | NPI | - | NPPES |
00A39381 | Medicaid | CA | |
1699859520 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | A39381 (California) | Primary |
Entity Name | C J Calvin Yang, M D A Professional Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902998370 PECOS PAC ID: 9234136979 Enrollment ID: O20061023000296 |
Entity Name | Kc Tan, M.d. Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215394036 PECOS PAC ID: 2062719719 Enrollment ID: O20160324000980 |
Entity Name | Perch Yetenikyan, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043726367 PECOS PAC ID: 1355602970 Enrollment ID: O20180222001948 |
Mailing Address | Practice Location Address |
---|---|
Dr Jimmy Chanbonpin, MD 1654 S El Molino Ave, San Marino, CA 91108-1701 Ph: (626) 285-5700 | Dr Jimmy Chanbonpin, MD 1654 S El Molino Ave, San Marino, CA 91108-1701 Ph: (626) 285-5700 |
Dr. Shendee Teng, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1595 Rubio Dr, San Marino, CA 91108 Phone: 626-287-3213 | |
Dr. Linda Yee Chak, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1281 Mill Ln, San Marino, CA 91108 Phone: 626-716-2076 |