Andrew K Wong, MD | |
2125 Arizona Ave, Santa Monica, CA 90404-1337 | |
(310) 582-7640 | |
Not Available |
Full Name | Andrew K Wong |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 2125 Arizona Ave, Santa Monica, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1700312683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | A194635 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Providence Saint Johns Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
Mailing Address | Practice Location Address |
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Andrew K Wong, MD 2125 Arizona Ave, Santa Monica, CA 90404-1337 Ph: () - | Andrew K Wong, MD 2125 Arizona Ave, Santa Monica, CA 90404-1337 Ph: (310) 582-7640 |
Deven Khosla, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2811 Wilshire Blvd Ste 950, Santa Monica, CA 90403 Phone: 775-530-9669 | |
Max Kahn, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1131 Wilshire Blvd Ste 100, Santa Monica, CA 90401 Phone: 310-319-3475 | |
Dr. Aaron Gershon Filler, M.D., PH.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 900 Wilshire Blvd Ste 310, Santa Monica, CA 90401 Phone: 310-314-6410 Fax: 310-496-0185 | |
Jerry Noel, D.O. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1131 Wilshire Blvd Ste 100, Santa Monica, CA 90401 Phone: 310-825-5111 | |
Daniel F Kelly, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1328 22nd St, 3rd Floor, Santa Monica, CA 90404 Phone: 310-202-6204 | |
Daniel Chia-hsing Lu, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1131 Wilshire Blvd, Suite 100, Santa Monica, CA 90401 Phone: 310-267-2975 | |
Doojin Kim, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 Wilshire Blvd Ste 100, Santa Monica, CA 90403 Phone: 310-319-5098 Fax: 310-319-4552 |