Leonard Wong Chiropractic Corporation | |
2230 Sunset Blvd Ste 360, Rocklin, CA 95765-4274 | |
(916) 786-7779 | |
(916) 244-7066 |
Full Name | Leonard Wong Chiropractic Corporation |
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Type | Facility |
Speciality | Chiropractor |
Location | 2230 Sunset Blvd Ste 360, Rocklin, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073807566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 25827 (California) | Primary |
Provider Name | Leonard L Wong |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1639266273 PECOS PAC ID: 8426030495 Enrollment ID: I20040603000421 |
Mailing Address | Practice Location Address |
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Leonard Wong Chiropractic Corporation 2230 Sunset Blvd, 360, Rocklin, CA 95765 Ph: (916) 786-7779 | Leonard Wong Chiropractic Corporation 2230 Sunset Blvd Ste 360, Rocklin, CA 95765-4274 Ph: (916) 786-7779 |
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