| Dr Ethan Min Chen, MD | |
|
9961 Sierra Ave, Fontana, CA 92335-6720 | |
| (909) 427-2070 | |
| Not Available |
| Full Name | Dr Ethan Min Chen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 9961 Sierra Ave, Fontana, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073170312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A179722 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Haven Elite Urgent Care | 3072858554 | 6 |
| 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 |
| Entity Name | Emergency Physicians Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689963845 PECOS PAC ID: 8527234418 Enrollment ID: O20111227000049 |
| Entity Name | Tri-state Community Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922356369 PECOS PAC ID: 5597991968 Enrollment ID: O20131114000307 |
| Entity Name | Haven Elite Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619473154 PECOS PAC ID: 3072858554 Enrollment ID: O20190103001046 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan Min Chen, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-2070 | Dr Ethan Min Chen, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-2070 |
Robert M. Theal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Todd A. Westra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Pushkar Chand, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000 | |
Huy Phan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000 | |
William J. Delo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
John R. Sharpe Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Miguel Angel Martinez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16854 Ivy Ave Ste A, Fontana, CA 92335 Phone: 909-791-1000 Fax: 909-781-6000 |