| Medex Specialty Network, Inc. | |
|
461 Tennessee St Ste C Redlands CA 92373-8161 | |
| (909) 809-0289 | |
| (855) 233-7921 |
| Full Name | Medex Specialty Network, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 461 Tennessee St Ste C, Redlands, California |
| Authorized Official Name and Position | Jun Chiong (CEO/PRESIDENT) |
| Authorized Official Contact | 9098090289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medex Specialty Network, Inc. 1605 Valle Del Sol Redlands CA 92373-7438 Ph: (909) 809-0289 | Medex Specialty Network, Inc. 461 Tennessee St Ste C Redlands CA 92373-8161 Ph: (909) 809-0289 |
| NPI Number | 1659134252 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 1153761697 |
|---|---|
| Medicare Enrollment ID | O20240430003895 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659134252 | NPI | - | NPPES |
| Provider Name | Julie Ann Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366693376 PECOS PAC ID: 5991746067 Enrollment ID: I20050518001185 |
| Provider Name | Jun R Chiong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598730590 PECOS PAC ID: 5890740773 Enrollment ID: I20060727000110 |
| Provider Name | Marinel Abellada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417314485 PECOS PAC ID: 5698065944 Enrollment ID: I20171215002429 |
| Provider Name | Seth E Chelliah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497126197 PECOS PAC ID: 7517292626 Enrollment ID: I20190711002493 |
| Provider Name | Danah Majorie F Lucasan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669030987 PECOS PAC ID: 6800228164 Enrollment ID: I20191107002383 |
| Provider Name | Gaea Jamine U Uppala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972139020 PECOS PAC ID: 3072923507 Enrollment ID: I20201111002246 |
| Provider Name | Cheyanne Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265034912 PECOS PAC ID: 7911307202 Enrollment ID: I20210608001487 |
| Provider Name | Frances M Abad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053504514 PECOS PAC ID: 1759529589 Enrollment ID: I20220516000002 |
| Provider Name | Praise Him Tinungki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255056834 PECOS PAC ID: 4183094147 Enrollment ID: I20230109000712 |
| Provider Name | Angelica A Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437860020 PECOS PAC ID: 9436519188 Enrollment ID: I20230713001917 |
| Provider Name | Marvin Louie Sunpongco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659066314 PECOS PAC ID: 6305295726 Enrollment ID: I20231211003189 |
| Provider Name | Torrey Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992480990 PECOS PAC ID: 0749631471 Enrollment ID: I20240108000987 |
| Provider Name | Victory B Mailangkay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104506427 PECOS PAC ID: 9234579061 Enrollment ID: I20240426002827 |
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