Connie K Teng (NPI# 1104951235, PAC ID# 0244364800) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1104951235 |
| PAC ID by PECOS | 0244364800 |
| Professional Enrollment ID | I20190424000544 |
| Full Name | Connie K Teng |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Address |
520 N Prospect Ave Suite 102 Redondo Beach CA 90277-3033 |
| Phone Number | 3103189992 |
| Gender | F |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | RHEUMATOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991609737 |
| Number of Group Practice Members | 250 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050353 | PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE |
| Address | Phone | Organization |
|---|---|---|
| 520 N Prospect Ave, Suite 102, Redondo Beach, CA 90277-3033 | 3103189992 | PROVIDENCE MEDICAL INSTITUTE |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Garner | Nurse Practitioner | Providence Medical Institute | 24035 Newhall Ranch Rd, Santa Clarita, CA 91355-5702 |
| Jennifer S Lee | Nurse Practitioner | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Danielle N Anderson | Obstetrics/gynecology | Providence Medical Institute | 2601 W Alameda Avenue, Suite 212, Burbank, CA 91505-4800 |
| Julie A Gould | Obstetrics/gynecology | Providence Medical Institute | 405 N Maclay Ave, Suite 104, San Fernando, CA 91340-2455 |
| Reza Askari | Obstetrics/gynecology | Providence Medical Institute | 621 S Butte St, San Pedro, CA 90732-3510 |
| Brenda Shen | Family Medicine | Providence Medical Institute | 2382 Crenshaw Blvd, Suite 5, Torrance, CA 90501-3333 |
| Raj U Dugel | Ophthalmology | Providence Medical Institute | 4825 Torrance Blvd, Suite 100, Torrance, CA 90503-4167 |
| Jeffrey Work | Interventional Cardiology | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Peter J Georgio Ii | Family Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Michael M Marvi | Neurology | Providence Medical Institute | 1870 Veteran Ave, Apt 102, Los Angeles, CA 90025-4569 |
| Street Address |
520 N PROSPECT AVE SUITE 102 |
| City | REDONDO BEACH |
| State | CA |
| Zip | 90277-3033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rindha Reddy | Ophthalmology | Aarchan Joshi, M.d. Inc | 520 N Prospect Ave, Suite 206, Redondo Beach, CA 90277-3033 |
| William M Liu | Internal Medicine | Providence Medical Institute | 520 N Prospect Ave, Redondo Beach, CA 90277-3033 |
| Evelyn Denebeim | Obstetrics/gynecology | Providence Medical Institute | 520 N Prospect Ave, Suite 203, Redondo Beach, CA 90277-3042 |
| Regilah A Ramon | Nurse Practitioner | Providence Medical Institute | 520 N Prospect Ave, Redondo Beach, CA 90277-3033 |
| Denise A Ishimaru | Obstetrics/gynecology | Providence Medical Institute | 520 N Prospect Ave, Redondo Beach, CA 90277-3042 |
| Christopher Sun | Internal Medicine | Providence Medical Institute | 520 N Prospect Ave, Redondo Beach, CA 90277-3033 |
| Kristin K Kwong | Nurse Practitioner | Providence Medical Institute | 520 N Prospect Ave, Suite 103, Redondo Beach, CA 90277-3033 |
| Fariba Seraj | Physician Assistant | William J Wickwire, M.d., Inc. | 520 N Prospect Ave, Suite 302, Redondo Beach, CA 90277-3026 |
| Steven Patrick Tyssee | Physical Therapy | Redondo Orthopedic Physical Therapy | 520 N Prospect Ave, Suite 100, Redondo Beach, CA 90277-3033 |
| John P Armato | Internal Medicine | Providence Medical Institute | 520 N Prospect Ave, Redondo Beach, CA 90277-3042 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan Laveman | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Fernando Carlo | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Gabriel Henry Campion | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Khadija Ismail | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Casey Mariel Krebs | Emergency Medicine | Exer Medical Corporation | 725 S Pacific Coast Hghway, Redondo Beach, CA 90277 |
| Allen H Peters | Preventative Medicine | 819 N Harbor Dr, Suite 310, Redondo Beach, CA 90277-2056 | |
| Sabra Hitchcock | Psychologist, Clinical | 407 N Broadway, Apt 6, Redondo Beach, CA 90277-2807 | |
| Michael B Azarkh | Internal Medicine | 319 N Broadway, Apt 108, Redondo Beach, CA 90277-2846 | |
| Behnam Benjamin Fouladian | Optometry | 403 N Pacific Coast Hwy, Suite 108, Redondo Beach, CA 90277-2882 | |
| Erik Patrick Sorenson | Physician Assistant | William J Wickwire, M.d., Inc. | 520 N Prospect Ave, Suite 302, Redondo Beach, CA 90277-3026 |
| Find all physicians in zip 90277 | |||
| City | REDONDO BEACH |
| Zip Code | 90277 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | REDONDO BEACH + RHEUMATOLOGY |
Please comment or provide details below to improve the information on Connie K Teng.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.