| Bo Ram Chung, CRNA | |
|
1600 W Avenue J, Lancaster, CA 93534-2814 | |
| (661) 949-5000 | |
| Not Available |
| Full Name | Bo Ram Chung |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 1600 W Avenue J, Lancaster, 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 |
|---|---|---|---|
| 1720472020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN194250 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95000417 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Antelope Valley Hospital | Lancaster, CA | Hospital |
| Huntington Memorial Hospital | Pasadena, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Valley Medical Group | 3577465368 | 90 |
| Anesthesia Partners Of North Valley Medical Associates | 3678561263 | 21 |
| Cep America - Anesthesia Pc | 3678897915 | 397 |
| Entity Name | Pacific Valley Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851312862 PECOS PAC ID: 3577465368 Enrollment ID: O20040122000762 |
| Entity Name | Anesthesia Partners Of North Valley Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639104144 PECOS PAC ID: 3678561263 Enrollment ID: O20040503001440 |
| Entity Name | Universal Pain Management Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427046655 PECOS PAC ID: 1759369572 Enrollment ID: O20040708001475 |
| Entity Name | Metro Nursing Anesthesia Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093970436 PECOS PAC ID: 6800082660 Enrollment ID: O20101119000410 |
| Entity Name | Cep America - Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110 |
| Entity Name | Relevo Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003598475 PECOS PAC ID: 6800242900 Enrollment ID: O20231025004015 |
| Mailing Address | Practice Location Address |
|---|---|
| Bo Ram Chung, CRNA 23638 Lyons Ave Ste 153, Newhall, CA 91321-2513 Ph: (404) 642-0900 | Bo Ram Chung, CRNA 1600 W Avenue J, Lancaster, CA 93534-2814 Ph: (661) 949-5000 |
Larry J Woodgate, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 W Avenue J, Lancaster, CA 93534 Phone: 661-949-5000 Fax: 661-951-4327 |