| Lori Lee Wong, OT | |
|
525 South Dr, Suite 211, Mountain View, CA 94040-4213 | |
| (650) 934-0455 | |
| (650) 934-0456 |
| Full Name | Lori Lee Wong |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 525 South Dr, Mountain View, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336122134 | NPI | - | NPPES |
| ZZZ28185Z | Other | CA | MEDICARE GROUP PTAN - FOREST |
| ZZZ28190Z | Other | CA | MEDICARE GROUP PTAN - MT VIEW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT1609 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Lee Wong, OT 525 South Dr, Suite 211, Mountain View, CA 94040-4213 Ph: (650) 934-0455 | Lori Lee Wong, OT 525 South Dr, Suite 211, Mountain View, CA 94040-4213 Ph: (650) 934-0455 |
Aarthi Sarode, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Bush St, Apt 24, Mountain View, CA 94041 Phone: 650-758-4700 | |
Willow Dea, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2685 Marine Way, Suite 1411, Mountain View, CA 94040 Phone: 650-279-1084 | |
Catherine Christianson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1820 Hackett Ave, Mountain View, CA 94043 Phone: 415-385-0144 | |
Jonathan Tucker Moore, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1949 Grant Rd, Mountain View, CA 94040 Phone: 650-968-2990 | |
Megan Seto, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: H Berry Dr, Mountain View, CA 94043 Phone: 650-204-0677 | |
Dr. John Frank Nava, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1716 Miramonte Ave, Mountain View, CA 94040 Phone: 650-943-1272 |