| Christopher J Horan, MD | |
|
11911 Central Ave, Chino, CA 91710-1906 | |
| (909) 631-2442 | |
| Not Available |
| Full Name | Christopher J Horan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 11911 Central Ave, Chino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093873309 | NPI | - | NPPES |
| 589319-02 | Medicaid | HI | |
| 0000258384 | Other | HI | HMSA BILLING NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD-13540 (Hawaii) | Secondary |
| 208000000X | Pediatrics | A70850 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| 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 |
|---|---|
| Christopher J Horan, MD 11911 Central Ave, Chino, CA 91710-1906 Ph: (909) 631-2442 | Christopher J Horan, MD 11911 Central Ave, Chino, CA 91710-1906 Ph: (909) 631-2442 |
Dr. Marcelino Dellopac Latina, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 13193 Central Ave, Suite 100, Chino, CA 91710 Phone: 909-464-9675 |
Mrs. Carolyne Tan Lim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12598 Central Ave, Suite A, Chino, CA 91710 Phone: 909-364-1234 Fax: 909-364-1227 |
Harsha P Sheth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13768 Roswell Ave, Suite 115, Chino, CA 91710 Phone: 909-364-0600 Fax: 909-364-1126 |
Rosario Retino, MD FACP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13601 Central Ave, Ste B, Chino, CA 91710 Phone: 909-627-6076 Fax: 909-395-9787 |
Dr. Raimel Yturralde Perez-pasiliao, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12574 Central Ave, Chino, CA 91710 Phone: 909-627-7433 Fax: 562-365-3532 |
Jonathan D Ou, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5562 Philadelphia St Ste 311, Chino, CA 91710 Phone: 909-465-6342 Fax: 855-830-1723 |
Jessica Nguyen, Pediatrics Medicare: Medicare Enrolled Practice Location: 3750 Grand Ave, Chino, CA 91710 Phone: 833-574-2273 |