| Jon Wong M.d. A Medical Corporation | |
|
1329 E Thousand Oaks Blvd Suite 128 Thousand Oaks CA 91362-2824 | |
| (805) 494-8430 | |
| (805) 494-8385 |
| Full Name | Jon Wong M.d. A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1329 E Thousand Oaks Blvd, Thousand Oaks, California |
| Authorized Official Name and Position | Jon Wong (PRESIDENT) |
| Authorized Official Contact | 3102714407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Wong M.d. A Medical Corporation 8306 Wilshire Blvd #501 Beverly Hills CA 90211-2382 Ph: (310) 271-4407 | Jon Wong M.d. A Medical Corporation 1329 E Thousand Oaks Blvd Suite 128 Thousand Oaks CA 91362-2824 Ph: (805) 494-8430 |
| NPI Number | 1851339865 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 02/27/2013 |
| Medicare PECOS PAC ID | 5597843318 |
|---|---|
| Medicare Enrollment ID | O20080419000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851339865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jon Wong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538101506 PECOS PAC ID: 9537248570 Enrollment ID: I20100923000832 |
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