| Grace Health And Wellness A Professional Corporation | |
|
5301 Norris Canyon Road #220 San Ramon CA 94583 | |
| (925) 820-0126 | |
| (925) 820-8183 |
| Full Name | Grace Health And Wellness A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 5301 Norris Canyon Road, San Ramon, California |
| Authorized Official Name and Position | Pamela Wang (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9258200126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Health And Wellness A Professional Corporation 5301 Norris Canyon Road #220 San Ramon CA 94583 Ph: (925) 820-0126 | Grace Health And Wellness A Professional Corporation 5301 Norris Canyon Road #220 San Ramon CA 94583 Ph: (925) 820-0126 |
| NPI Number | 1841957933 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 12/22/2021 |
| Medicare PECOS PAC ID | 9537550835 |
|---|---|
| Medicare Enrollment ID | O20211221001577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841957933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pamela Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033188602 PECOS PAC ID: 8426084914 Enrollment ID: I20050715000631 |
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