| Wu Lee Quock Medical Corporation | |
|
1044 Taraval St San Francisco CA 94116-2423 | |
| (415) 216-0088 | |
| Not Available |
| Full Name | Wu Lee Quock Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1044 Taraval St, San Francisco, California |
| Authorized Official Name and Position | Derrina Wu (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4152160088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wu Lee Quock Medical Corporation 1044 Taraval St San Francisco CA 94116-2423 Ph: (415) 216-0088 | Wu Lee Quock Medical Corporation 1044 Taraval St San Francisco CA 94116-2423 Ph: (415) 216-0088 |
| NPI Number | 1609352665 |
|---|---|
| Provider Enumeration Date | 07/12/2018 |
| Last Update Date | 10/03/2018 |
| Medicare PECOS PAC ID | 9638413347 |
|---|---|
| Medicare Enrollment ID | O20181206003591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609352665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| Provider Name | Angela M Quang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427006733 PECOS PAC ID: 6002893617 Enrollment ID: I20040701000920 |
| Provider Name | Andrew Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164439675 PECOS PAC ID: 1355348681 Enrollment ID: I20061031000208 |
| Provider Name | William S Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831204486 PECOS PAC ID: 8921102690 Enrollment ID: I20070406000161 |
| Provider Name | Stephen K Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053327288 PECOS PAC ID: 4385819317 Enrollment ID: I20111202000346 |
| Provider Name | Raymond S Ha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093020638 PECOS PAC ID: 8022250802 Enrollment ID: I20130807000182 |
| Provider Name | Kristin Fung Mei Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972946135 PECOS PAC ID: 3274811583 Enrollment ID: I20190104002981 |
| Provider Name | Qingping Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104818590 PECOS PAC ID: 8426076589 Enrollment ID: I20210630003074 |
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