| Channe Bunthung, FNP-C | |
|
390 N Pacific Coast Hwy, El Segundo, CA 90245-4475 | |
| (562) 606-9165 | |
| Not Available |
| Full Name | Channe Bunthung |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 390 N Pacific Coast Hwy, El Segundo, 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 |
|---|---|---|---|
| 1669014866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95012449 (California) | 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Channe Bunthung, FNP-C 500 Avenue G Apt 3, Redondo Beach, CA 90277-6006 Ph: (562) 606-9165 | Channe Bunthung, FNP-C 390 N Pacific Coast Hwy, El Segundo, CA 90245-4475 Ph: (562) 606-9165 |
Kenn Rafanan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671 |
Megan Puyau, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 N Pacific Coast Hwy Ste 2060, El Segundo, CA 90245 Phone: 855-427-2778 Fax: 424-277-6085 |
Rachel Spata, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 424-290-8004 |
Nirlaip Kaur Chahal, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Continental Blvd, El Segundo, CA 90245 Phone: 310-658-3775 |
Amaka Lauretta Anyaoha, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 Phone: 323-628-8671 |
Ms. Kyung Chow, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 507 S Douglas St Fl 3, El Segundo, CA 90245 Phone: 800-985-5596 |
Ayesha C Chiem, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 300 Continental Blvd Ste 560, El Segundo, CA 90245 Phone: 310-658-3775 |