Meagan Wong, DO | |
4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 | |
(310) 827-3700 | |
Not Available |
Full Name | Meagan Wong |
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Gender | Female |
Speciality | Family Medicine |
Location | 4560 Admiralty Way Ste 100, Marina Del Rey, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568818227 | NPI | - | NPPES |
2062034 | Medicaid | WA | |
G8995530 | Other | WA | MEDICARE W VALLEY MEDICAL GROUP - RENTON |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OP60667680 (Washington) | Secondary |
207Q00000X | Family Medicine | 20A16538 (California) | Primary |
Entity Name | Healthpoint |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831199454 PECOS PAC ID: 9335042886 Enrollment ID: O20040206000245 |
Entity Name | Valley Medical Group-renton |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
Mailing Address | Practice Location Address |
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Meagan Wong, DO 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Meagan Wong, DO 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 Ph: (310) 827-3700 |
Cathia Vazquez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-656-1770 Fax: 310-578-5379 | |
Dr. Brian Antony Boben, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13160 Mindanao Way Ste 301, Marina Del Rey, CA 90292 Phone: 310-301-0230 Fax: 310-301-0233 | |
Dr. Michael Gorniowsky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4644 Lincoln Blvd, Suite 428, Marina Del Rey, CA 90292 Phone: 310-306-1888 Fax: 310-577-8290 | |
Anthony Martin Ocana, MD, CCFP, FASAM Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13924 Marquesas Way Apt 1520, Marina Del Rey, CA 90292 Phone: 604-803-8513 | |
Edward King, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 | |
Ahmed Ashary, Family Medicine Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 | |
Dr. Layla Nina Farrahi, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379 |