| |
14568a Mono Way Sonora CA 95370-8858 | |
(209) 768-1217 | |
(209) 533-2061 |
Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 14568a Mono Way, Sonora, California |
Authorized Official Name and Position | Johnson Kar Tsun Wong (PHYSICIAN) |
Authorized Official Contact | 2097681217 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
14568a Mono Way Sonora CA 95370-8858 Ph: (209) 768-1217 | 14568a Mono Way Sonora CA 95370-8858 Ph: (209) 768-1217 |
NPI Number | 1902057573 |
---|---|
Provider Enumeration Date | 06/19/2007 |
Last Update Date | 10/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902057573 | NPI | - | NPPES |
00G796080 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | G079608 (California) | Primary |
Sonora Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13951 Mono Way, Suite A, Sonora, CA 95370 Phone: 209-532-3370 Fax: 209-532-3340 | |
Kathy Bosch Chiropractic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19515 Village Dr, Ste B, Sonora, CA 95370 Phone: 209-533-4330 Fax: 509-532-5374 | |
William E. Zachow, D.o. Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19747 Greenley Rd, Suite S-2, Sonora, CA 95370 Phone: 602-790-4221 | |