| Dr Connie Chan, DO | |
|
525 N Garfield Ave, Monterey Park, CA 91754-1202 | |
| (626) 307-2129 | |
| (626) 307-2056 |
| Full Name | Dr Connie Chan |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | 525 N Garfield Ave, Monterey Park, 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 |
|---|---|---|---|
| 1639105745 | NPI | - | NPPES |
| 00AX66540 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20A6654 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Team Physicians Of California Medical Group Inc | 8224945084 | 65 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Oakdale Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598862054 PECOS PAC ID: 4587567490 Enrollment ID: O20040216000564 |
| Entity Name | Team Physicians Of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880 |
| Entity Name | Sierra Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871732933 PECOS PAC ID: 2860542479 Enrollment ID: O20090602000429 |
| Entity Name | Santa Ynez River Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396210597 PECOS PAC ID: 7911241229 Enrollment ID: O20181127001998 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Connie Chan, DO 2405 Rolling Green Dr, Santa Maria, CA 93455-1525 Ph: (805) 928-5331 | Dr Connie Chan, DO 525 N Garfield Ave, Monterey Park, CA 91754-1202 Ph: (626) 307-2129 |
Dr. Jeremy Demetri Williams, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 N Garfield Ave, Monterey Park, CA 91754 Phone: 626-307-2129 Fax: 626-307-2056 | |
Li Cui, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 S Atlantic Blvd, Monterey Park, CA 91754 Phone: 323-788-6538 | |
Dr. Juan Carlos Jones, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 N Garfield Ave, Monterey Park, CA 91754 Phone: 626-307-2129 | |
Dr. Dolores De Cruz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 525 N Garfield Ave, Monterey Park, CA 91754 Phone: 626-307-2129 Fax: 626-307-2056 | |
Kimberly Marie Iwaki, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 708 Barnum Way, Monterey Park, CA 91754 Phone: 626-390-1154 | |
John S Leung, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 N Garfield Avenue, Emergency Department, Monterey Park, CA 91754 Phone: 626-307-2129 Fax: 626-307-2056 |