Dr Eric J Wong, MD | |
29472 Avenida De Las Bandera, Rancho Santa Margarita, CA 92688-2651 | |
(949) 459-9968 | |
(949) 766-2565 |
Full Name | Dr Eric J Wong |
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Gender | Male |
Speciality | Pediatrics |
Location | 29472 Avenida De Las Bandera, Rancho Santa Margarita, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104808161 | NPI | - | NPPES |
00G753610 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G75361 (California) | Primary |
Entity Name | Memorialcare Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205167350 PECOS PAC ID: 8729277314 Enrollment ID: O20110113000219 |
Mailing Address | Practice Location Address |
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Dr Eric J Wong, MD 29472 Avenida De Las Bandera, Rancho Santa Margarita, CA 92688-2651 Ph: (949) 459-9968 | Dr Eric J Wong, MD 29472 Avenida De Las Bandera, Rancho Santa Margarita, CA 92688-2651 Ph: (949) 459-9968 |
Dr. Lilian B Tran, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 29472 Avenida De Las Bandera, Rancho Santa Margarita, CA 92688 Phone: 949-459-9968 | |
Antoinette Delvalle, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22521 Avenida Empresa Ste 107, Rancho Santa Margarita, CA 92688 Phone: 949-888-4661 Fax: 949-888-3645 | |
Dr. Bonnie Pittaluga, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 29472 Avenida De Las Bandera, Rancho Santa Margarita, CA 92688 Phone: 949-459-9968 Fax: 949-766-2565 | |
Dr. Daizy Engineer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 29472 Avenida De Las Bandera, Rancho Santa Margarita, CA 92688 Phone: 949-459-9968 Fax: 949-766-2565 | |
Dr. Cynthia A Dimalanta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30212 Tomas, Suite 220, Rancho Santa Margarita, CA 92688 Phone: 949-858-1100 Fax: 949-858-1820 | |
Stephen Tang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 29941 Aventura, Suites E&f, Rancho Santa Margarita, CA 92688 Phone: 949-858-1100 |