Thomas Wong, MD | |
2330 Utah Ave Ste 200, El Segundo, CA 90245-4817 | |
(281) 766-0959 | |
Not Available |
Full Name | Thomas Wong |
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Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 2330 Utah Ave Ste 200, El Segundo, 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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1528555869 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2085R0204X | Radiology - Vascular & Interventional Radiology | 63753 (Tennessee) | Primary |
Entity Name | Mori Bean And Brooks Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
Mailing Address | Practice Location Address |
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Thomas Wong, MD 1801 S Osprey Ave Unit 101, Sarasota, FL 34239-3608 Ph: () - | Thomas Wong, MD 2330 Utah Ave Ste 200, El Segundo, CA 90245-4817 Ph: (281) 766-0959 |
Mariam Wassef Hanna, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Nicholas D'alesio, DO, MPH Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Dr. David Lewis Lamar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Nisha Rao, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Dustin Lee Meyer, DO Radiology Medicare: Medicare Enrolled Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Christopher Tournade, MD Radiology Medicare: Medicare Enrolled Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Dr. Katie Jo Lester, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 |