| Wong Chiropractic Center Inc | |
|
1391 Woodside Rd Ste 200 Redwood City CA 94061-3574 | |
| (650) 365-7775 | |
| (650) 365-7890 |
| Full Name | Wong Chiropractic Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1391 Woodside Rd Ste 200, Redwood City, California |
| Authorized Official Name and Position | Harry K Wong (OWNER) |
| Authorized Official Contact | 6503657775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wong Chiropractic Center Inc 1391 Woodside Rd Ste 200 Redwood City CA 94061-3574 Ph: (650) 365-7775 | Wong Chiropractic Center Inc 1391 Woodside Rd Ste 200 Redwood City CA 94061-3574 Ph: (650) 365-7775 |
| NPI Number | 1194027466 |
|---|---|
| Provider Enumeration Date | 11/18/2010 |
| Last Update Date | 11/18/2010 |
| Medicare PECOS PAC ID | 4688842578 |
|---|---|
| Medicare Enrollment ID | O20110720000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194027466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 14813 (California) | Primary |
| Provider Name | Harry K Wong |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841352416 PECOS PAC ID: 1052482916 Enrollment ID: I20081112000844 |
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