Jing Chen, MD | |
1514 Valley Vista Dr, Diamond Bar, CA 91765-3929 | |
(909) 860-1144 | |
(909) 860-8307 |
Full Name | Jing Chen |
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Gender | Female |
Speciality | Pediatrics |
Location | 1514 Valley Vista Dr, Diamond Bar, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699208942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 160232 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Jing Chen, MD 1514 Valley Vista Dr, Diamond Bar, CA 91765-3929 Ph: (909) 860-1144 | Jing Chen, MD 1514 Valley Vista Dr, Diamond Bar, CA 91765-3929 Ph: (909) 860-1144 |
Wilfredo Alejo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1514 Valley Vista Dr, Diamond Bar, CA 91765 Phone: 909-860-1144 | |
Ruey-kang R. Chang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1360 Valley Vista Dr, Ste 203, Diamond Bar, CA 91765 Phone: 310-866-0709 Fax: 310-755-3108 | |
Jonathan David Ou, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2707 S Diamond Bar Blvd Ste 104, Diamond Bar, CA 91765 Phone: 909-594-8331 | |
Dr. Rama S Venkat, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3220 S Brea Canyon Rd Ste H, Diamond Bar, CA 91765 Phone: 909-594-1848 Fax: 909-594-7959 | |
Sandra A Mathur, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1514 Valley Vista Dr, Diamond Bar, CA 91765 Phone: 909-860-1144 Fax: 909-860-3526 |