Bo Ram Chung, CRNA | |
1600 W Avenue J, Lancaster, CA 93534-2814 | |
(661) 949-5000 | |
Not Available |
Full Name | Bo Ram Chung |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 1600 W Avenue J, Lancaster, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720472020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN194250 (Georgia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95000417 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Huntington Memorial Hospital | Pasadena, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pacific Valley Medical Group | 3577465368 | 94 |
Anesthesia Partners Of North Valley Medical Associates | 3678561263 | 21 |
Relevo Health Pc | 6800242900 | 30 |
Entity Name | Pacific Valley Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851312862 PECOS PAC ID: 3577465368 Enrollment ID: O20040122000762 |
Entity Name | Anesthesia Partners Of North Valley Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639104144 PECOS PAC ID: 3678561263 Enrollment ID: O20040503001440 |
Entity Name | Universal Pain Management Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427046655 PECOS PAC ID: 1759369572 Enrollment ID: O20040708001475 |
Entity Name | Metro Nursing Anesthesia Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093970436 PECOS PAC ID: 6800082660 Enrollment ID: O20101119000410 |
Entity Name | Cep America - Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110 |
Entity Name | Socal Anesthesia Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407596901 PECOS PAC ID: 0042607426 Enrollment ID: O20220504000637 |
Entity Name | Relevo Health Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003598475 PECOS PAC ID: 6800242900 Enrollment ID: O20231025004015 |
Mailing Address | Practice Location Address |
---|---|
Bo Ram Chung, CRNA 23638 Lyons Ave Ste 153, Newhall, CA 91321-2513 Ph: (404) 642-0900 | Bo Ram Chung, CRNA 1600 W Avenue J, Lancaster, CA 93534-2814 Ph: (661) 949-5000 |
Larry J Woodgate, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 Fax: 661-951-4327 |