Jonathan Patam Won, is a
Psychologist based in Moreno Valley, California. Jonathan Patam Won is licensed to practice in * (Not Available) (license number ) and his current practice location is
12968 Frederick St, Moreno Valley, California. He can be reached at his office (for appointments etc.) via phone at
(951) 242-7738.
NPI number for Jonathan Patam Won is 1184154767 and his current mailing address is 16782 Von Karman Ave Ste 11, Irvine, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184154767.
Healthcare Provider's Profile
| Full Name | Jonathan Patam Won |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 12968 Frederick St, Moreno Valley, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184154767
- Provider Enumeration Date: 06/15/2017
- Last Update Date: 03/10/2020
Medical Identifiers
Medical identifiers for Jonathan Patam Won such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184154767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | RBT-18-65352 (California) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan Patam Won is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jonathan Patam Won,
16782 Von Karman Ave Ste 11,
Irvine, CA 92606-2417
Ph: (855) 223-7123 | Jonathan Patam Won,
12968 Frederick St,
Moreno Valley, CA 92553-5229
Ph: (951) 242-7738 |
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