Jennifer Chung, MD | |
710 Lawrence Expy Dept 342, Santa Clara, CA 95051-5173 | |
(408) 851-3780 | |
Not Available |
Full Name | Jennifer Chung |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 710 Lawrence Expy Dept 342, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336586924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MT204535 (Pennsylvania) | Secondary |
208600000X | Surgery | 183632 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Chung, MD 710 Lawrence Expy Dept 342, Santa Clara, CA 95051-5173 Ph: (088) 513-7804 | Jennifer Chung, MD 710 Lawrence Expy Dept 342, Santa Clara, CA 95051-5173 Ph: (408) 851-3780 |
Rishad M. Faruqi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Judith Keddington, MD Surgery Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Dr. Julie Glasson, MD Surgery Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 404-851-4165 | |
John M. Stevenson, MD Surgery Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Nancy A. Bitar-godfrey, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 | |
Annette Chavez, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000 |