| Mr Eric Song, PA-C | |
|
1850 E Washington St, Colton, CA 92324-4621 | |
| (909) 887-2991 | |
| Not Available |
| Full Name | Mr Eric Song |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 1850 E Washington St, Colton, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083918403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA21386 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Emergency Medicine | 8628128196 | 45 |
| Foothills Pain Management Clinic Pc | 5698828101 | 9 |
| Entity Name | Southern California Emergency Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639314255 PECOS PAC ID: 8628128196 Enrollment ID: O20090604000499 |
| Entity Name | Foothills Pain Management Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487885372 PECOS PAC ID: 5698828101 Enrollment ID: O20090731000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Eric Song, PA-C 1850 E Washington St, Colton, CA 92324-4621 Ph: (909) 887-2991 | Mr Eric Song, PA-C 1850 E Washington St, Colton, CA 92324-4621 Ph: (909) 887-2991 |
Richard Anthony Benavidez, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000 |
Tiffany Jackie Hwang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave # 205, Colton, CA 92324 Phone: 909-331-9598 |
Lawrence David Gates, P.A-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-1400 |
Mrs. Amy Elizabeth Dahlberg, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-354-2195 |
Olivia Sophia Zetty, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave Ste 2m206, Colton, CA 92324 Phone: 317-900-3912 |
Brian Kent Heaton, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3390 |
Emma Werner Oliver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000 |