Pin Wen Wang, | |
10604 N Trademark Pkwy, Rancho Cucamonga, CA 91730-5938 | |
(909) 476-5747 | |
Not Available |
Full Name | Pin Wen Wang |
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Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 10604 N Trademark Pkwy, Rancho Cucamonga, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508102336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | 15168 (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Pin Wen Wang, 10604 N Trademark Pkwy, Rancho Cucamonga, CA 91730-5938 Ph: (909) 476-5747 | Pin Wen Wang, 10604 N Trademark Pkwy, Rancho Cucamonga, CA 91730-5938 Ph: (909) 476-5747 |
Karisa Tomkinson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10400 Arrow Rte Apt O07, Rancho Cucamonga, CA 91730 Phone: 480-343-4247 | |
Ms. Sarah Kang, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10604 N Trademark Pkwy, Ste 310, Rancho Cucamonga, CA 91730 Phone: 909-476-5747 | |
Maria Eloiza Leyesa, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10518 Peach Tree Ln, Rancho Cucamonga, CA 91737 Phone: 909-223-8800 | |
Patrice Watson, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9200 Milliken Ave Apt 8214, Rancho Cucamonga, CA 91730 Phone: 909-420-5752 | |
Tiffany Hsu, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8282 White Oak Ave Ste 107, Rancho Cucamonga, CA 91730 Phone: 909-586-0509 | |
Elena Lynne Decastro, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7467 Fennel Rd, Rancho Cucamonga, CA 91739 Phone: 714-307-9413 | |
Jacqueline Hardison, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8282 White Oak Ave Ste 107, Rancho Cucamonga, CA 91730 Phone: 909-476-9071 Fax: 909-929-0805 |