Mr Daniel T Wong, CRNA | |
2500 Merced St, San Leandro, CA 94577-4201 | |
(510) 454-2069 | |
Not Available |
Full Name | Mr Daniel T Wong |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2500 Merced St, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568508505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 590405 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Mr Daniel T Wong, CRNA 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-2069 | Mr Daniel T Wong, CRNA 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-2069 |
Jennifer Lim, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Joseph J Janakes, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2500 Merced St, Department Of Anesthesia, San Leandro, CA 94577 Phone: 510-454-2070 | |
Steven Bazan, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-2070 | |
Franchesca Maria Cascone, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-2070 | |
Belinda Will, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-2070 | |
Mrs. Jaclyn G Cho, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Mrs. Katherine T La, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-2070 |