Gustavo C Wong, RDN, CDE, EP-C | |
1515 N Sunrise Way, Palm Springs, CA 92262 | |
(800) 720-9553 | |
Not Available |
Full Name | Gustavo C Wong |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 1515 N Sunrise Way, Palm Springs, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134139629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | County Of Riverside |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
Mailing Address | Practice Location Address |
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Gustavo C Wong, RDN, CDE, EP-C Po Box 1384, Rancho Mirage, CA 92270-1050 Ph: (760) 636-1408 | Gustavo C Wong, RDN, CDE, EP-C 1515 N Sunrise Way, Palm Springs, CA 92262 Ph: (800) 720-9553 |
Ulysses Rico Zendejas Jr., RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1133 N Palm Canyon Dr, Palm Springs, CA 92262 Phone: 760-320-8005 | |
Edgar Alvarado, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 275 N El Cielo Rd, Palm Springs, CA 92262 Phone: 760-320-8814 | |
Sergio Jesus Soria-rodriguez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1150 N Palm Canyon Dr, Palm Springs, CA 92262 Phone: 760-323-6272 | |
Sarah Tripp, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 255 N El Cielo Rd Ste C327, Palm Springs, CA 92262 Phone: 760-328-4499 Fax: 760-328-1050 | |
Johanna Roberts, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1895 N Via Miraleste Unit 1512, Palm Springs, CA 92262 Phone: 760-393-1982 | |
Claire Chiu, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1150 N Indian Canyon Dr, Palm Springs, CA 92262 Phone: 760-323-6272 |