| Dr Heidi Chi-quin So, MD | |
|
4050 Dublin Blvd, Dublin, CA 94568-3112 | |
| (510) 498-2886 | |
| Not Available |
| Full Name | Dr Heidi Chi-quin So |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4050 Dublin Blvd, Dublin, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932461464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036.138509 (Illinois) | Secondary |
| 208000000X | Pediatrics | A149693 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Heidi Chi-quin So, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (510) 498-2886 | Dr Heidi Chi-quin So, MD 4050 Dublin Blvd, Dublin, CA 94568-3112 Ph: (510) 498-2886 |
Kimberly H Chong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100 | |
Sarah Beann Leu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100 | |
Rebecca Olveda, Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100 | |
Corey Cheung, Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Dublin Blvd Fl 1, Dublin, CA 94568 Phone: 925-875-3700 | |
Geera Peters, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100 | |
Vanessa Wong, Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Dublin Bvld, Dublin, CA 94568 Phone: 925-875-6100 | |
Dominique Forestier, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100 |