| Tonja Mundwiller, MD | |
|
1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 | |
| (310) 376-6262 | |
| (310) 376-8228 |
| Full Name | Tonja Mundwiller |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1010 N Sepulveda Blvd, Manhattan Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306950738 | NPI | - | NPPES |
| WG74753P | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G74753 (California) | Secondary |
| 208000000X | Pediatrics | G74753 (California) | Primary |
| Entity Name | Eastern Ventura Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417900788 PECOS PAC ID: 4981628708 Enrollment ID: O20060607000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Tonja Mundwiller, MD 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 Ph: (310) 376-6262 | Tonja Mundwiller, MD 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 Ph: (310) 376-6262 |
Joanna May Wong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 855 Manhattan Beach Blvd, Ste 103, Manhattan Beach, CA 90266 Phone: 310-939-7850 Fax: 310-939-7851 | |
Vivian Yi Lin, Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N Sepulveda Blvd Ste 190, Manhattan Beach, CA 90266 Phone: 310-546-8702 Fax: 310-545-5310 | |
Dr. Sandra Kathleen Smith-lang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 578 31st St, Manhattan Beach, CA 90266 Phone: 310-890-6209 Fax: 310-546-2955 | |
Christine Kao, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N Sepulveda Blvd Ste 190, Manhattan Beach, CA 90266 Phone: 310-546-8702 | |
Mahsa Madani, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 855 Manhattan Beach Blvd, Manhattan Beach, CA 90266 Phone: 310-939-7847 | |
Casey Sherman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2501 N Sepulveda Blvd, Suite 101, Manhattan Beach, CA 90266 Phone: 310-546-8702 | |
Dr. Keith Robin Bayan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N Sepulveda Blvd Ste 190, Manhattan Beach, CA 90266 Phone: 310-546-8702 Fax: 310-545-5310 |