Tammy Peng

M.D. | Pediatric Allergy-Immunology | Female

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Complete Profile:

Tammy Peng basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Allergy/Immunology
Provider Name :	Tammy Peng
Credential :	M.D.
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Tammy Peng address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	10833 Le Conte Ave, Mdcc Rm 12-430 Los Angeles, CA, 90095 United States
Phone Number :	310-825-6482

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1770999765
NPI Entity Type :	Individual
First Enrolment Date :	10 Jul, 2014
Last Updated On :	26 Jan, 2023

Medicare Participation:

Tammy Peng participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7012294424
Medicare Enrollment ID :	I20170511001282
Primary Specialty :	Allergy/immunology
Medical School :	Other
Graduation Year :	2011
Accepts Medicare?	Yes. Tammy Peng accepts medicare insurance.

Group Practice Association:

Tammy Peng is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Tammy Peng is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Southern California Permanente Medical Group	6002729175	8030	12801 Crossroads Pkwy S City Of Industry, CA - 917463502 Ph: 8007801277	Yes
Southern California Permanente Medical Group	6002729175	8030	1255 W Arrow Hwy San Dimas, CA - 917732340 Ph: 9093942526	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tammy Peng are as mentioned. Primary taxonomy code for Tammy Peng, M.D. is 2080P0201X (Pediatrics, Pediatric Allergy/Immunology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	25MA09518800	NJ
2080P0201X	Pediatrics, Pediatric Allergy/Immunology	Yes	A136879	CA

Other Practice Locations:

Practice Address	City, State	Phone Number
83 ALEXANDER ST, EDISON, NJ, 08820-2434 United States	EDISON, NJ	908-930-2889

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	10833 Le Conte Ave Rm 12-430 Los Angeles, CA, 90095-1752 United States
Phone Number :	310-825-6482

Business Location:

Patients can refer following map for directions to Tammy Peng practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.