Renee E Park, MD, MPH | |
9961 Sierra Ave, Fontana, CA 92335-6720 | |
(909) 427-5000 | |
Not Available |
Full Name | Renee E Park |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Experience | 15 Years |
Location | 9961 Sierra Ave, Fontana, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205079910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YP0228X | Otolaryngology - Pediatric Otolaryngology | MD454696 (Pennsylvania) | Secondary |
207YP0228X | Otolaryngology - Pediatric Otolaryngology | A135401 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 7951 |
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 |
---|---|
Renee E Park, MD, MPH 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (877) 608-0044 | Renee E Park, MD, MPH 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-5000 |
Ying P. Hsieh, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Allen L. Hwang, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Dr. Zrria L Richardson, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave # 3, Fontana, CA 92335 Phone: 909-427-5000 | |
Daniel S. Lee, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Manish J. Patel, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 | |
Dr. Lisa Lee, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000 |