| Lisa K Chong, MD | |
| 600 N Mountain Ave, A104, Upland, CA 91786-4331 | |
| (909) 931-1033 | |
| Not Available | 
| Full Name | Lisa K Chong | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology | 
| Location | 600 N Mountain Ave, Upland, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1467539304 | NPI | - | NPPES | 
| 00A900690 | Medicaid | CA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A90069 (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 | 
|---|---|
| Lisa K Chong, MD 600 N Mountain Ave, Upland, CA 91786-4331 Ph: (909) 931-1033 | Lisa K Chong, MD 600 N Mountain Ave, A104, Upland, CA 91786-4331 Ph: (909) 931-1033 | 
| Dr. William B. Mcleod, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 811 E 11th St, Suite 104, Upland, CA 91786 Phone: 909-626-7486 | |
| Dr. Thomas Way Lee, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 930 E Foothill Blvd, Ste 2, Upland, CA 91786 Phone: 909-946-2277 Fax: 909-920-0765 | |
| Dr. Monica A. Valenzuela-gamm, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1310 San Bernardino Rd, Suite # 201, Upland, CA 91786 Phone: 909-355-7855 Fax: 909-355-7856 | |
| Dr. Joanna Du, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1310 San Bernardino Rd Ste 201, Upland, CA 91786 Phone: 909-579-0806 Fax: 909-579-1331 | |
| Dr. Shanta Srivastava, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 811 E Eleventh St, Suite #104, Upland, CA 91786 Phone: 909-985-0793 Fax: 909-985-8326 | |
| Mehdi Moslemi-kebria, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1100 San Bernardino Road, Suite 1100, Upland, CA 91786 Phone: 909-949-2242 Fax: 909-981-5783 |