| Annie Phan, PA-C | |
|
10787 Laurel St, Rancho Cucamonga, CA 91730-3828 | |
| (909) 982-7741 | |
| Not Available |
| Full Name | Annie Phan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 10787 Laurel St, Rancho Cucamonga, 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 |
|---|---|---|---|
| 1316581416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| 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 |
| Entity Name | St. John's Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434 |
| Mailing Address | Practice Location Address |
|---|---|
| Annie Phan, PA-C 10787 Laurel St, Rancho Cucamonga, CA 91730-3828 Ph: (909) 982-7741 | Annie Phan, PA-C 10787 Laurel St, Rancho Cucamonga, CA 91730-3828 Ph: (909) 982-7741 |
Bryant Alex Lim, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10565 Civic Center Dr, Rancho Cucamonga, CA 91730 Phone: 909-755-5533 |
Mrs. Antonia Lynn Rogers, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7777 Milliken Ave Ste 110, Rancho Cucamonga, CA 91730 Phone: 909-948-7590 Fax: 909-948-7290 |
Mrs. Sarah Lynn Searles, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8680 Monroe Ct Ste 200, Rancho Cucamonga, CA 91730 Phone: 909-987-0899 |
Haily Nicole Helton, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 10837 Laurel St Ste 204, Rancho Cucamonga, CA 91730 Phone: 909-294-5358 |
Claire Rahoi, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11398 Kenyon Way Ste J, Rancho Cucamonga, CA 91701 Phone: 909-727-3911 |
Kattya Isabel Low, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9377 Haven Ave Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-906-1505 |
Mr. Song Siameng Jann, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5131 Nellie Ct, Rancho Cucamonga, CA 91739 Phone: 213-841-4181 |