Tri Valley Gastroenterology | |
5801 Norris Canyon Rd Ste. 230 San Ramon CA 94583 | |
(925) 275-9966 | |
(925) 275-9823 |
Full Name | Tri Valley Gastroenterology |
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Speciality | Internal Medicine |
Location | 5801 Norris Canyon Rd, San Ramon, California |
Authorized Official Name and Position | David T. Wong (PRESIDENT) |
Authorized Official Contact | 9252759966 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tri Valley Gastroenterology 5801 Norris Canyon Rd Ste. 230 San Ramon CA 94583 Ph: (925) 275-9966 | Tri Valley Gastroenterology 5801 Norris Canyon Rd Ste. 230 San Ramon CA 94583 Ph: (925) 275-9966 |
NPI Number | 1891706669 |
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Provider Enumeration Date | 08/10/2006 |
Last Update Date | 08/03/2022 |
Medicare PECOS PAC ID | 6002705076 |
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Medicare Enrollment ID | O20040315001358 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891706669 | NPI | - | NPPES |
ZZZ57371Z | Other | CA | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | David T Wong |
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Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1386654200 PECOS PAC ID: 9032008016 Enrollment ID: I20080820000724 |
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