Sean E Koon, MD | |
9961 Sierra Ave, Fontana, CA 92335-6720 | |
(909) 427-3910 | |
Not Available |
Full Name | Sean E Koon |
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Gender | Male |
Speciality | Internal Medicine - Addiction Medicine |
Location | 9961 Sierra Ave, Fontana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285701128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RA0401X | Internal Medicine - Addiction Medicine | A70370 (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: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Sean E Koon, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910 | Sean E Koon, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910 |
Nainesh K. Gandhi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9985 Sierra Ave, Fontana, CA 92335 Phone: 866-454-3485 | |
Blanca E. Viramontes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Dr. Paymon Mesgarzadeh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9985 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000 | |
Kathryn Chang Lin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy, Ste 245, Fontana, CA 92336 Phone: 909-829-7337 Fax: 909-829-1218 | |
Lih-jiau Chen, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Tommy Tiong Hien Oei, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Edmond C. Hui, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |