| Sam Chann, NP | |
|
5001 Pacific Coast Hwy, Torrance, CA 90505-5441 | |
| (877) 782-0300 | |
| (424) 455-2274 |
| Full Name | Sam Chann |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 5001 Pacific Coast Hwy, Torrance, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043095078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95024816 (California) | Primary |
| 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 | Peninsula Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659947455 PECOS PAC ID: 8921475575 Enrollment ID: O20221110001565 |
| Entity Name | Peninsula Primary Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417673328 PECOS PAC ID: 3072973007 Enrollment ID: O20230721001188 |
| Mailing Address | Practice Location Address |
|---|---|
| Sam Chann, NP Po Box 40193, Long Beach, CA 90804-6193 Ph: (562) 726-2382 | Sam Chann, NP 5001 Pacific Coast Hwy, Torrance, CA 90505-5441 Ph: (877) 782-0300 |
Dina M Meza, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Head And Neck Box 6, Torrance, CA 90502 Phone: 310-222-2741 Fax: 310-222-5518 | |
Kriska Aimee Tiglao, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1328 Portola Ave, Torrance, CA 90501 Phone: 310-872-6563 | |
Aziz Zaouadi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4101 Torrance Blvd, Torrance, CA 90503 Phone: 323-494-7440 | |
Eun Hye Yeon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1727 Crenshaw Blvd, Torrance, CA 90501 Phone: 310-373-7855 | |
Maureen Saligumba, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-1912 | |
Anjana Johanis, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 424-306-8323 | |
Shannan Ann Stephenson, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 W Carson St, Torrance, CA 90502 Phone: 310-222-4160 Fax: 310-320-2271 |