| Chioma Enweasor, MD | |
|
15290 Summit Ave Ste B, Fontana, CA 92336-0240 | |
| (909) 225-1900 | |
| (909) 663-9072 |
| Full Name | Chioma Enweasor |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 15290 Summit Ave Ste B, 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 |
|---|---|---|---|
| 1184078099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | A151014 (California) | Secondary |
| 208000000X | Pediatrics | A151014 (California) | Primary |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Entity Name | County Of Riverside |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196 |
| Mailing Address | Practice Location Address |
|---|---|
| Chioma Enweasor, MD 15290 Summit Ave Ste B, Fontana, CA 92336-0240 Ph: (909) 225-1900 | Chioma Enweasor, MD 15290 Summit Ave Ste B, Fontana, CA 92336-0240 Ph: (909) 225-1900 |
Mr. James David Killeen Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Kaiser Permanente Fontana - Pediatrics, Fontana, CA 92335 Phone: 909-427-6960 | |
Ramandeep Kaur, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336 Phone: 909-823-8000 Fax: 909-823-8088 | |
Leslie Sison Aquino-peralta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Connie Lew Cheng, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Miss Irene H Odom, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5451 | |
Eric Mun-kong Wong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Phillip Chong, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7798 Cherry Ave, Fontana, CA 92336 Phone: 909-355-1296 Fax: 888-625-5702 |