Phong Quoc Lai, DO | |
11234 Anderson St, Llumc, House Staff Office Cp 21005, Loma Linda, CA 92354-2804 | |
(909) 558-4000 | |
Not Available |
Full Name | Phong Quoc Lai |
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Gender | Male |
Speciality | Obstetrics & Gynecology - Obstetrics |
Location | 11234 Anderson St, Loma Linda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1245417526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0000X | Obstetrics & Gynecology - Obstetrics | 20A10146 (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 |
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 |
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Phong Quoc Lai, DO 11234 Anderson St, Llumc, House Staff Office Cp 21005, Loma Linda, CA 92354-2804 Ph: () - | Phong Quoc Lai, DO 11234 Anderson St, Llumc, House Staff Office Cp 21005, Loma Linda, CA 92354-2804 Ph: (909) 558-4000 |
Samira Monavvari, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 11370 Anderson St Ste 3900, Loma Linda, CA 92354 Phone: 909-558-2806 | |
Danielle C.a. Sawyer-macknet, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 25805 Barton Rd, Suite 107, Loma Linda, CA 92354 Phone: 909-478-7700 Fax: 909-478-7705 | |
Dr. Tiare Nicole Evans, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St Ste 3900, Loma Linda, CA 92354 Phone: 909-558-2806 | |
Kevin C Balli, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste 3900, Loma Linda, CA 92354 Phone: 909-558-2806 | |
Juthamas Kositsawat, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Loma Linda, CA 92354 Phone: 909-558-2806 | |
Hermina Salvador, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 11370 Anderson St, Ste 3900, Loma Linda, CA 92354 Phone: 909-558-2806 | |
Ai-mae Chee Watkins, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste 3900, Loma Linda, CA 92354 Phone: 909-558-2806 |