| Wei Guo | |
|
527 W Esplanade Ave Ste 100 Kenner LA 70065-2568 | |
| (504) 464-4141 | |
| (504) 464-5931 |
| Full Name | Wei Guo |
|---|---|
| Speciality | Clinic/Center |
| Location | 527 W Esplanade Ave Ste 100, Kenner, Louisiana |
| Authorized Official Name and Position | Wei Guo (CEO) |
| Authorized Official Contact | 5044644141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wei Guo 527 W Esplanade Ave Ste 100 Kenner LA 70065-2568 Ph: (504) 464-4141 | Wei Guo 527 W Esplanade Ave Ste 100 Kenner LA 70065-2568 Ph: (504) 464-4141 |
| NPI Number | 1740581800 |
|---|---|
| Provider Enumeration Date | 11/05/2010 |
| Last Update Date | 11/05/2010 |
| Medicare PECOS PAC ID | 5890975734 |
|---|---|
| Medicare Enrollment ID | O20110209000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740581800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD203584 (Louisiana) | Primary |
| Provider Name | Wei Guo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396934428 PECOS PAC ID: 2769526185 Enrollment ID: I20100812001007 |
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