Faith Pauline Chisum, MD | |
949 Palm Ave, Imperial Beach, CA 91932-1503 | |
(619) 429-3733 | |
(619) 429-3823 |
Full Name | Faith Pauline Chisum |
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Gender | Female |
Speciality | Family Medicine |
Location | 949 Palm Ave, Imperial Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346432069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A98040 (California) | Primary |
Entity Name | Imperial Beach Community Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718351 PECOS PAC ID: 6709867880 Enrollment ID: O20040525001394 |
Mailing Address | Practice Location Address |
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Faith Pauline Chisum, MD 949 Palm Ave, Imperial Beach, CA 91932-1503 Ph: (619) 429-3733 | Faith Pauline Chisum, MD 949 Palm Ave, Imperial Beach, CA 91932-1503 Ph: (619) 429-3733 |
Dr. Daniel Johnson, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 Fax: 619-429-6457 | |
Mr. Vernon Greg Phillips, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-7700 Fax: 619-429-7703 | |
Danielle Richardson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 828 5th St, Imperial Beach, CA 91932 Phone: 913-710-2420 | |
Parmela Sawhney, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Palm Ave, Imperial Beach, CA 91932 Phone: 619-424-5106 Fax: 619-424-3648 | |
Eric John Leute, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 949 Palm Avenue, Imperial Beach Health Center, Imperial Beach, CA 91932 Phone: 619-429-3733 Fax: 619-628-5550 | |
Samantha Kasi Bodiford, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 |