| Louis T Chau, MD | |
|
800 S Main St, Corona, CA 92882-3420 | |
| (909) 736-6241 | |
| (909) 736-6283 |
| Full Name | Louis T Chau |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 800 S Main St, Corona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225144918 | NPI | - | NPPES |
| 00A644230 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A64423 (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 |
|---|---|
| Louis T Chau, MD 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 Ph: (510) 350-2600 | Louis T Chau, MD 800 S Main St, Corona, CA 92882-3420 Ph: (909) 736-6241 |
David M Bear, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 S Main St, Corona, CA 92882 Phone: 909-736-6241 | |
Jason M Fisher, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 S Main St, Corona, CA 92882 Phone: 909-736-6241 | |
Luis Villegas, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 S Main St, Corona, CA 92882 Phone: 951-737-4343 | |
James Bernard Boyd, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 S Main St, Corona, CA 92882 Phone: 909-736-6241 | |
Nancy Marie Chung, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2815 S Main St Ste 110, Corona, CA 92882 Phone: 951-278-8385 Fax: 951-278-2930 | |
Tam Thanh Dang, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 S Main St, Corona, CA 92882 Phone: 951-737-4343 |