| Jessica Nguyen, | |
|
3750 Grand Ave, Chino, CA 91710-5478 | |
| (833) 574-2273 | |
| Not Available |
| Full Name | Jessica Nguyen |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3750 Grand Ave, Chino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811525991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A184790 (California) | Primary |
| 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 |
|---|---|
| Jessica Nguyen, 3750 Grand Ave, Chino, CA 91710-5478 Ph: (833) 574-2273 | Jessica Nguyen, 3750 Grand Ave, Chino, CA 91710-5478 Ph: (833) 574-2273 |
Dr. Marcelino Dellopac Latina, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 13193 Central Ave, Suite 100, Chino, CA 91710 Phone: 909-464-9675 | |
Christopher J. Horan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11911 Central Ave, Chino, CA 91710 Phone: 909-631-2442 | |
Mrs. Carolyne Tan Lim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12598 Central Ave, Suite A, Chino, CA 91710 Phone: 909-364-1234 Fax: 909-364-1227 | |
Harsha P Sheth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13768 Roswell Ave, Suite 115, Chino, CA 91710 Phone: 909-364-0600 Fax: 909-364-1126 | |
Rosario Retino, MD FACP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13601 Central Ave, Ste B, Chino, CA 91710 Phone: 909-627-6076 Fax: 909-395-9787 | |
Dr. Raimel Yturralde Perez-pasiliao, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12574 Central Ave, Chino, CA 91710 Phone: 909-627-7433 Fax: 562-365-3532 |