Carol Wong, | |
36320 Inland Valley Dr Ste 301, Wildomar, CA 92595-7512 | |
(951) 447-8826 | |
Not Available |
Full Name | Carol Wong |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 36320 Inland Valley Dr Ste 301, Wildomar, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205459658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Jalapeno Health Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295400851 PECOS PAC ID: 4880133164 Enrollment ID: O20240830000724 |
Mailing Address | Practice Location Address |
---|---|
Carol Wong, 30983 Putter Cir, Temecula, CA 92591-3922 Ph: (510) 364-9794 | Carol Wong, 36320 Inland Valley Dr Ste 301, Wildomar, CA 92595-7512 Ph: (951) 447-8826 |
Tatiana Maria Attobra, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595 Phone: 951-698-3000 | |
Cheryl Schendel, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 35505 Iodine Springs Rd, Wildomar, CA 92595 Phone: 951-491-4061 | |
Dr. Patricia Ann Ford, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595 Phone: 240-277-6826 |