Hubert E Wong, MD | |
654 Camino De Los Mares, San Clemente, CA 92673-2827 | |
(330) 493-4443 | |
(330) 493-8677 |
Full Name | Hubert E Wong |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 654 Camino De Los Mares, San Clemente, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356365290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A73672 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Mailing Address | Practice Location Address |
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Hubert E Wong, MD 4535 Dressler Rd Nw, Canton, OH 44718-2545 Ph: (330) 493-4443 | Hubert E Wong, MD 654 Camino De Los Mares, San Clemente, CA 92673-2827 Ph: (330) 493-4443 |
Seric Cusick, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1713 S Ola Vis, San Clemente, CA 92672 Phone: 707-812-2983 | |
Christopher Melville, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 Calle Potro, San Clemente, CA 92672 Phone: 949-366-9132 | |
Scott Lawrence Ryan, BVMS Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1833 S El Camino Real, San Clemente, CA 92672 Phone: 949-492-5777 | |
Dr. Larry Burbridge, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 654 Camino De Los Mares, Emergency Department, San Clemente, CA 92673 Phone: 949-489-4516 | |
Rajesh Kadakia, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 S El Camino Real Ste A, San Clemente, CA 92672 Phone: 949-492-4994 | |
Timothy O Roham, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 629 Camino De Los Mares, Suite # 103, San Clemente, CA 92673 Phone: 949-248-1900 Fax: 949-248-1956 |