| Wasea Medical Llc | |
|
1400 S Jackson St Ste 24 Seattle WA 98144 | |
| (206) 568-8577 | |
| Not Available |
| Full Name | Wasea Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 S Jackson St Ste 24, Seattle, Washington |
| Authorized Official Name and Position | Jiegang Yang Zhou (PRESIDENT) |
| Authorized Official Contact | 2063314005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wasea Medical Llc 11707 Exeter Ave Ne Seattle WA 98125-5913 Ph: (206) 568-8577 | Wasea Medical Llc 1400 S Jackson St Ste 24 Seattle WA 98144 Ph: (206) 568-8577 |
| NPI Number | 1174787667 |
|---|---|
| Provider Enumeration Date | 07/14/2008 |
| Last Update Date | 11/12/2018 |
| Medicare PECOS PAC ID | 7113091281 |
|---|---|
| Medicare Enrollment ID | O20080807000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174787667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | MD00046227 (Washington) | Primary |
| Provider Name | Jiegang Y Zhou |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1538109525 PECOS PAC ID: 8729091152 Enrollment ID: I20060801000102 |
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