Dr Sandeep Kaur Kaushal, MD | |
250 W Bonita Ave Ste 200, Pomona, CA 91767-1863 | |
(909) 629-5067 | |
(909) 865-7688 |
Full Name | Dr Sandeep Kaur Kaushal |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 250 W Bonita Ave Ste 200, Pomona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578538740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 227120 (Massachusetts) | Secondary |
208000000X | Pediatrics | C55061 (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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Dr Sandeep Kaur Kaushal, MD 250 W Bonita Ave Ste 200, Pomona, CA 91767-1863 Ph: (909) 629-5067 | Dr Sandeep Kaur Kaushal, MD 250 W Bonita Ave Ste 200, Pomona, CA 91767-1863 Ph: (909) 629-5067 |
Dr. James T. Warren, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 W Bonita Ave, #200, Pomona, CA 91767 Phone: 909-629-5067 Fax: 909-865-7688 | |
Dr. Juanita Alice Kagwa-nyanzi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 117 W Willow St, Ste B, Pomona, CA 91768 Phone: 909-865-5519 Fax: 909-865-5771 | |
Grace Hoang-oanh Nguyen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1532 San Bernardino Ave Ste B7, Pomona, CA 91767 Phone: 909-301-4041 Fax: 909-301-4042 | |
Dr. Lisa Warren, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 795 E. Second Street, Suite 5, Pomona, CA 91766 Phone: 909-865-2565 Fax: 909-865-2599 | |
Gloria Ha Phuoc Chung, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1101 E Holt Ave, Suite G, Pomona, CA 91767 Phone: 909-632-0895 | |
Ericka Y Hong, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 W. Bonita Ave, Suite 200, Pomona, CA 91767 Phone: 909-629-5067 Fax: 909-865-7688 | |
Elhamy Fawzy Khalil, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3530 West Pomona Blvd, Pomona, CA 91769 Phone: 909-595-1221 |