| Peter Chong, MD | |
|
15446 S Western Ave, Gardena, CA 90249-4319 | |
| (310) 217-5470 | |
| (310) 217-5343 |
| Full Name | Peter Chong |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 15446 S Western Ave, Gardena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346276789 | NPI | - | NPPES |
| 100103 | Other | KS | HPK |
| 100232700A | Medicaid | KS | |
| 16837 | Other | KS | COVENTRY |
| 12084355 | Other | KS | MULTIPLAN |
| 2570 | Other | KS | PHS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24349 (Kansas) | 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 |
|---|---|
| Peter Chong, MD 15446 S Western Ave, Gardena, CA 90249-4319 Ph: (310) 217-5470 | Peter Chong, MD 15446 S Western Ave, Gardena, CA 90249-4319 Ph: (310) 217-5470 |
Kimberly Jill Eddings-reece, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1045 W Redondo Beach Blvd, Suite 240, Gardena, CA 90247 Phone: 310-225-2825 | |
Dr. Dongjin Sung, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 W Gardena Blvd, Gardena, CA 90247 Phone: 424-551-3110 Fax: 844-272-8062 | |
Dr. Pranit Shrestha, M.D., M.P.H. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-532-4200 | |
Ms. Gail Gabourel, MSPA-C Internal Medicine Medicare: Medicare Enrolled Practice Location: 742 W Gardena Blvd, Gardena, CA 90247 Phone: 310-327-1357 | |
Keith Andrew Kagahastian Ebilane, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1212 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-225-2825 | |
Dr. Chidinma Chima-melton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-363-0526 Fax: 310-640-3418 | |
Katelyn Hope Anderson Klein, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 742 W Gardena Blvd, Gardena, CA 90247 Phone: 310-392-8636 |