| John Lai And Kevin Wong , Medical Corporation | |
|
1500 Southgate Ave Ste. 207 Daly City CA 94015-2259 | |
| (650) 991-4466 | |
| (650) 991-4467 |
| Full Name | John Lai And Kevin Wong , Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1500 Southgate Ave, Daly City, California |
| Authorized Official Name and Position | John Lai (PRESIDENT) |
| Authorized Official Contact | 6509914466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Lai And Kevin Wong , Medical Corporation 1500 Southgate Ave Ste. 207 Daly City CA 94015-2259 Ph: (650) 991-4466 | John Lai And Kevin Wong , Medical Corporation 1500 Southgate Ave Ste. 207 Daly City CA 94015-2259 Ph: (650) 991-4466 |
| NPI Number | 1639214513 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 05/24/2013 |
| Medicare PECOS PAC ID | 4981610789 |
|---|---|
| Medicare Enrollment ID | O20060303000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639214513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G78359 (California) | Primary |
| Provider Name | John Onsek Lai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457398406 PECOS PAC ID: 1850316290 Enrollment ID: I20051013001046 |
| Provider Name | Kevin Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477523991 PECOS PAC ID: 1850316209 Enrollment ID: I20051013001055 |
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