| Gary P Fontan, MD | |
|
2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6800 | |
| (909) 630-7875 | |
| (909) 630-7876 |
| Full Name | Gary P Fontan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2140 Grand Ave, Chino Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760482731 | NPI | - | NPPES |
| A69054 | Other | CA | MEDICAL LISENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A39054 (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 |
| 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 |
|---|---|
| Gary P Fontan, MD 2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6800 Ph: (909) 630-7875 | Gary P Fontan, MD 2140 Grand Ave, Suite 125, Chino Hills, CA 91709-6800 Ph: (909) 630-7875 |
Jay Shah, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2140 Grand Ave Ste 125, Chino Hills, CA 91709 Phone: 909-630-7875 Fax: 909-469-2107 | |
Naheed Momand, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2140 Grand Ave Ste 125, Chino Hills, CA 91709 Phone: 909-630-7875 Fax: 909-630-7876 | |
Jesse Cheung, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2140 Grand Ave Ste 125, Chino Hills, CA 91709 Phone: 909-630-7875 Fax: 909-469-2107 | |
Ashish Bhalla, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3110 Chino Ave, Suite 150b, Chino Hills, CA 91709 Phone: 909-630-7868 Fax: 909-630-7869 | |
Mr. Carlos Alberto Baez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2140 Grand Ave Ste 125, Chino Hills, CA 91709 Phone: 909-630-7875 Fax: 909-469-2107 | |
Sula M Safar, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3110 Chino Ave Ste 150a, Chino Hills, CA 91709 Phone: 909-630-7490 Fax: 909-630-7491 | |
Maria Leticia Valadez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2140 Grand Ave Ste 125, Chino Hills, CA 91709 Phone: 909-630-7875 Fax: 909-630-7876 |