Jenniefer Chong, | |
210 W San Bernardino Rd, Covina, CA 91723-1515 | |
(626) 938-7650 | |
Not Available |
Full Name | Jenniefer Chong |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 210 W San Bernardino Rd, Covina, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588218523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95018865 (California) | Primary |
163W00000X | Registered Nurse | 776381 (California) | Secondary |
Entity Name | Molina Healthcare Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348 |
Mailing Address | Practice Location Address |
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Jenniefer Chong, 13500 Los Angeles St, Baldwin Park, CA 91706-2250 Ph: (626) 216-6472 | Jenniefer Chong, 210 W San Bernardino Rd, Covina, CA 91723-1515 Ph: (626) 938-7650 |
Maria Theresa Lee Belonio, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 S Village Oaks Dr Ste 106, Covina, CA 91724 Phone: 626-331-8001 | |
Na Yeon Han, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 N 4th Ave, Covina, CA 91723 Phone: 626-859-6400 | |
Mrs. Manmit Kaur Anand, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20540 E Arrow Hwy Ste A, Covina, CA 91724 Phone: 626-513-7497 Fax: 626-513-7497 | |
Stephanie Huynh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 235 E Badillo St, Covina, CA 91723 Phone: 626-915-4700 | |
Laura Jimenez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W Rowland St, Covina, CA 91723 Phone: 626-331-6411 Fax: 626-251-1560 | |
Benjamin Herrick, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W San Bernardino Rd, Covina, CA 91723 Phone: 626-331-7331 | |
Bethany Shavon Sims, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 W San Bernardino Rd Ste B, Covina, CA 91722 Phone: 626-960-2326 |