| Kristin F Wong Md A Professional Corporation | |
|
1044 Taraval St San Francisco CA 94116-2423 | |
| (415) 548-2225 | |
| (415) 855-8946 |
| Full Name | Kristin F Wong Md A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1044 Taraval St, San Francisco, California |
| Authorized Official Name and Position | Kristin F Wong (CEO) |
| Authorized Official Contact | 4155482225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin F Wong Md A Professional Corporation 1044 Taraval St San Francisco CA 94116-2423 Ph: (415) 548-2225 | Kristin F Wong Md A Professional Corporation 1044 Taraval St San Francisco CA 94116-2423 Ph: (415) 548-2225 |
| NPI Number | 1073193462 |
|---|---|
| Provider Enumeration Date | 04/10/2021 |
| Last Update Date | 01/10/2024 |
| Medicare PECOS PAC ID | 1658772918 |
|---|---|
| Medicare Enrollment ID | O20210624002439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073193462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristin Fung Mei Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972946135 PECOS PAC ID: 3274811583 Enrollment ID: I20190104002981 |
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