| Connie Mabel Wong, OTR/L | |
|
200 E Del Mar Blvd Ste 112, Pasadena, CA 91105-2552 | |
| (626) 564-2700 | |
| (626) 564-2770 |
| Full Name | Connie Mabel Wong |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 200 E Del Mar Blvd Ste 112, Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851757009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 15837 (California) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Provider Name | Hand Center Of Southern California |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396868212 PECOS PAC ID: 4385718527 Enrollment ID: O20080805000906 |
| Mailing Address | Practice Location Address |
|---|---|
| Connie Mabel Wong, OTR/L 200 E Del Mar Blvd Ste 112, Pasadena, CA 91105-2552 Ph: (626) 564-2700 | Connie Mabel Wong, OTR/L 200 E Del Mar Blvd Ste 112, Pasadena, CA 91105-2552 Ph: (626) 564-2700 |
Joelle Elaine Medina, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2889 San Pasqual St, Pasadena, CA 91107 Phone: 626-792-2712 | |
Keene Liang, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2555 E Colorado Blvd Ste 100, Pasadena, CA 91107 Phone: 626-564-2700 | |
Laura Jean Hogan-reyes, OTR/L, SWC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Del Mar Blvd, #112, Pasadena, CA 91105 Phone: 626-564-2700 | |
Carol Fodera, MA,OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 N Lake Ave, Pasadena, CA 91101 Phone: 626-793-7350 Fax: 626-793-7341 | |
Tiffany Ellen Manzini, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3030 E Colorado Blvd, Pasadena, CA 91107 Phone: 626-385-6121 | |
Natalie Meade Aguirre, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 N Lake Ave, Pasadena, CA 91101 Phone: 626-793-7350 | |
Susan Geraldine Inaba, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1565 Glen Oaks Blvd, Pasadena, CA 91105 Phone: 626-376-5265 |