Lisa K Chong, MD | |
600 N Mountain Ave, A104, Upland, CA 91786-4331 | |
(909) 931-1033 | |
Not Available |
Full Name | Lisa K Chong |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 600 N Mountain Ave, Upland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467539304 | NPI | - | NPPES |
00A900690 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | A90069 (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: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Lisa K Chong, MD 600 N Mountain Ave, Upland, CA 91786-4331 Ph: (909) 931-1033 | Lisa K Chong, MD 600 N Mountain Ave, A104, Upland, CA 91786-4331 Ph: (909) 931-1033 |
Dr. William B. Mcleod, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 811 E 11th St, Suite 104, Upland, CA 91786 Phone: 909-626-7486 | |
Dr. Thomas Way Lee, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 930 E Foothill Blvd, Ste 2, Upland, CA 91786 Phone: 909-946-2277 Fax: 909-920-0765 | |
Dr. Monica A. Valenzuela-gamm, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1310 San Bernardino Rd, Suite # 201, Upland, CA 91786 Phone: 909-355-7855 Fax: 909-355-7856 | |
Dr. Joanna Du, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1310 San Bernardino Rd Ste 201, Upland, CA 91786 Phone: 909-579-0806 Fax: 909-579-1331 | |
Dr. Shanta Srivastava, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 811 E Eleventh St, Suite #104, Upland, CA 91786 Phone: 909-985-0793 Fax: 909-985-8326 | |
Mehdi Moslemi-kebria, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1100 San Bernardino Road, Suite 1100, Upland, CA 91786 Phone: 909-949-2242 Fax: 909-981-5783 |