Lai Man Wong, | |
150 Paularino Ave Ste 182, Costa Mesa, CA 92626-3301 | |
(800) 482-5174 | |
Not Available |
Full Name | Lai Man Wong |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 150 Paularino Ave Ste 182, Costa Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558894741 | NPI | - | NPPES |
G8967989 | Other | WA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95006175 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP60746640 (Washington) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Orange County Urgent Care #3, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497001200 PECOS PAC ID: 2062667306 Enrollment ID: O20130312000517 |
Entity Name | Global Transitional Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245630607 PECOS PAC ID: 8628390770 Enrollment ID: O20141201001673 |
Mailing Address | Practice Location Address |
---|---|
Lai Man Wong, 1927 Harbor Blvd Ste A, Costa Mesa, CA 92627-7602 Ph: (360) 474-3511 | Lai Man Wong, 150 Paularino Ave Ste 182, Costa Mesa, CA 92626-3301 Ph: (800) 482-5174 |
Alexandra Hutchison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1530 Baker St Ste A, Costa Mesa, CA 92626 Phone: 714-559-5436 | |
Judith Rivera, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Anton Blvd Fl 11, Costa Mesa, CA 92626 Phone: 623-374-7774 Fax: 855-420-6361 | |
Madison Lucas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Paularino Ave Ste D182, Costa Mesa, CA 92626 Phone: 866-300-7227 | |
Yvette Alfelor Elpidio, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3151 Airway Ave, T-3, Costa Mesa, CA 92626 Phone: 714-545-5550 Fax: 714-545-5748 | |
Mrs. Suzanne Clara Larkin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1665 Scenic Ave, Costa Mesa, CA 92626 Phone: 714-436-4444 | |
Rachel Renee Cliser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 188 E 17th St Ste 101, Costa Mesa, CA 92627 Phone: 949-515-4548 | |
Courtney Proctor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 W 19th St, Costa Mesa, CA 92627 Phone: 714-922-4100 |