| Dr Jennifer Vong, DO | |
|
21634 Retreat Pkwy, Corona, CA 92883-6100 | |
| (951) 493-6935 | |
| (951) 826-8134 |
| Full Name | Dr Jennifer Vong |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 14 Years |
| Location | 21634 Retreat Pkwy, Corona, 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 |
|---|---|---|---|
| 1952669715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 2016025642 (Missouri) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 20A15528 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Medical Clinic Inc | 2961492327 | 154 |
| Paulus Santoso Md A Professional Corporation | 6406995893 | 2 |
| Entity Name | Paulus Santoso Md A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093042970 PECOS PAC ID: 6406995893 Enrollment ID: O20091124000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Vong, DO 3660 Arlington Ave, Riverside, CA 92506-3912 Ph: () - | Dr Jennifer Vong, DO 21634 Retreat Pkwy, Corona, CA 92883-6100 Ph: (951) 493-6935 |
Dr. Maureen N. Muoneke, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 341 Magnolia Ave Ste 201, Corona, CA 92879 Phone: 951-735-6969 Fax: 951-735-8560 | |
Kimberly Tustison, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21634 Retreat Pkwy, Corona, CA 92883 Phone: 951-493-6814 Fax: 951-826-8134 | |
Dr. Leita J Harris, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1810 Fullerton Ave, Ste 203, Corona, CA 92881 Phone: 844-845-8737 Fax: 855-300-6748 | |
Dr. Rajeev Shantilal Gala, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2055 Kellogg Ave, Corona, CA 92879 Phone: 951-898-7381 | |
Dr. Thomas John Cachur Jr., D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 900 S Main St, Suite 209, Corona, CA 92882 Phone: 951-735-6969 Fax: 951-343-3483 | |
Gamage Nalinajith Nanayakkara, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21634 Retreat Pkwy, Corona, CA 92883 Phone: 951-493-6933 Fax: 951-826-8134 | |
Dr. Jacqueline Long, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 16756 Chino Corona Rd, Corona, CA 92880 Phone: 909-772-9434 |