| Ritchie Wong, Md, Inc | |
|
3650 Mission Ave Ste 1 Carmichael CA 95608-2933 | |
| (916) 972-0882 | |
| (916) 972-0649 |
| Full Name | Ritchie Wong, Md, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3650 Mission Ave Ste 1, Carmichael, California |
| Authorized Official Name and Position | Jodee Lausmann (OFFICE MANAGER) |
| Authorized Official Contact | 9169720882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ritchie Wong, Md, Inc 3650 Mission Ave Ste 1 Carmichael CA 95608-2933 Ph: (916) 972-0882 | Ritchie Wong, Md, Inc 3650 Mission Ave Ste 1 Carmichael CA 95608-2933 Ph: (916) 972-0882 |
| NPI Number | 1245424092 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 11/26/2007 |
| Medicare PECOS PAC ID | 8022232404 |
|---|---|
| Medicare Enrollment ID | O20140605001547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245424092 | NPI | - | NPPES |
| G34923 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G34923 (California) | Primary |
| Provider Name | Ritchie Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821054552 PECOS PAC ID: 0446261119 Enrollment ID: I20060509000514 |
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