| Phillip Chong, MD | |
|
7798 Cherry Ave, Fontana, CA 92336-4014 | |
| (909) 355-1296 | |
| (888) 625-5702 |
| Full Name | Phillip Chong |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 7798 Cherry Ave, Fontana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093132177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | Q6617 (Texas) | Secondary |
| 208000000X | Pediatrics | A148270 (California) | Primary |
| Entity Name | Comprehensive Primary Care Medical Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982786620 PECOS PAC ID: 5092780833 Enrollment ID: O20040826000639 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Chong, MD 7798 Cherry Ave, Fontana, CA 92336-4014 Ph: (909) 355-1296 | Phillip Chong, MD 7798 Cherry Ave, Fontana, CA 92336-4014 Ph: (909) 355-1296 |
Mr. James David Killeen Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Kaiser Permanente Fontana - Pediatrics, Fontana, CA 92335 Phone: 909-427-6960 |
Leslie Sison Aquino-peralta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |
Connie Lew Cheng, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |
Miss Irene H Odom, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5451 |
Eric Mun-kong Wong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |
Ramin R Mogadas, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 9985 Sierra Ave Fl Mob, Fontana, CA 92335 Phone: 909-427-2072 |
Sherrie D. Yhip, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |