| Wilson Chick, MD | |
|
11370 Anderson St, Ste 2960, Loma Linda, CA 92354-3450 | |
| (909) 558-6422 | |
| Not Available |
| Full Name | Wilson Chick |
|---|---|
| Gender | Male |
| Speciality | Pathology - Cytopathology |
| Location | 11370 Anderson St, Loma Linda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104849090 | NPI | - | NPPES |
| 00A552940 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0500X | Pathology - Cytopathology | A55294 (California) | Primary |
| 207ZP0101X | Pathology - Anatomic Pathology | A55294 (California) | Secondary |
| Entity Name | San Gabriel Valley Consulting Pathologists Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255390837 PECOS PAC ID: 5597678805 Enrollment ID: O20031111000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Chick, MD Po Box 1740, Loma Linda, CA 92354-0240 Ph: (909) 558-6422 | Wilson Chick, MD 11370 Anderson St, Ste 2960, Loma Linda, CA 92354-3450 Ph: (909) 558-6422 |
James M Pappas, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 11370 Anderson St Ste 2890, Loma Linda, CA 92354 Phone: 909-558-2304 | |
Mia Nepomuceno-perez, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 11370 Anderson St, Ste 2960, Loma Linda, CA 92354 Phone: 909-558-6422 | |
Jessica Hudson, Pathology Medicare: May Accept Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4094 | |
Yan Chen Wongworawat, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda University Health-pathology, Loma Linda, CA 92354 Phone: 909-558-4094 | |
Mrs. Laura Jean Denham, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St Ste 2516, Loma Linda, CA 92354 Phone: 909-558-4094 Fax: 909-793-2931 | |
Shehla Aman, Pathology Medicare: May Accept Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4094 |