Dr Clarissa Wong Fernandez-pol, MD | |
555 Castro St, Mountain View, CA 94041-2009 | |
(650) 903-3020 | |
Not Available |
Full Name | Dr Clarissa Wong Fernandez-pol |
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Gender | Female |
Speciality | Pediatrics |
Location | 555 Castro St, Mountain View, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437593746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A131883 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Clarissa Wong Fernandez-pol, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000 | Dr Clarissa Wong Fernandez-pol, MD 555 Castro St, Mountain View, CA 94041-2009 Ph: (650) 903-3020 |
Melanie Alexandra Atmadja, Pediatrics Medicare: Medicare Enrolled Practice Location: 701 E. El Camino Real, Mountain View, CA 94040 Phone: 650-934-7956 | |
Kaitlin Duke Lemei, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 701 E. El Camino Real, Mountain View, CA 94040 Phone: 650-934-7000 | |
Swarnapali R.p. Seneviratna, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Miramonte Ave, Mountain View, CA 94040 Phone: 650-965-3323 | |
Michaella Okihara, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7956 | |
George A. Johnson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 555 Castro St, Mountain View, CA 94041 Phone: 650-903-3000 | |
Crystal Kayi Wu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7850 | |
Shital Kaushik Patel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7850 |