| Elaine Y Pan, MD | |
|
9961 Sierra Ave, Fontana, CA 92335-6720 | |
| (909) 427-3910 | |
| Not Available |
| Full Name | Elaine Y Pan |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 9961 Sierra Ave, 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 |
|---|---|---|---|
| 1821165721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A60678 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Y Pan, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910 | Elaine Y Pan, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910 |
Suzanne Cao, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-6538 | |
Amy W Zhai, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Kaiser Permanente Fontana Medical Ctr, Dept Of Ob/gyn, Fontana, CA 92335 Phone: 909-427-5279 | |
Dr. Erica Chia-chi Medina, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 833-574-2273 | |
Norry E. Huffman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Jessica Boksberger Iskander, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-4377 | |
Robert G. Pretorius, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Stephen Cheng-wen Chao, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8110 Mango Ave Ste 106, Fontana, CA 92335 Phone: 909-266-0090 |