| Melissa C. Wong, Md, Inc | |
|
1842 Noriega St San Francisco CA 94122-4324 | |
| (415) 566-8799 | |
| (415) 566-8785 |
| Full Name | Melissa C. Wong, Md, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1842 Noriega St, San Francisco, California |
| Authorized Official Name and Position | Melissa Choryun Wong (PHYSICIAN) |
| Authorized Official Contact | 4155668799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa C. Wong, Md, Inc 1842 Noriega St San Francisco CA 94122-4324 Ph: (415) 566-8799 | Melissa C. Wong, Md, Inc 1842 Noriega St San Francisco CA 94122-4324 Ph: (415) 566-8799 |
| NPI Number | 1518358480 |
|---|---|
| Provider Enumeration Date | 02/12/2015 |
| Last Update Date | 02/12/2015 |
| Medicare PECOS PAC ID | 0446577472 |
|---|---|
| Medicare Enrollment ID | O20150331001875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518358480 | NPI | - | NPPES |
| 1578727756 | Other | NORIDIAN HEALTHCARE SOLUTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A110373 (California) | Primary |
| Provider Name | Melissa C Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578727756 PECOS PAC ID: 1355512039 Enrollment ID: I20110929000581 |
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