| Ms Christina Wan Ha Wong, | |
|
242 N Villa Ave, Willows, CA 95988-2641 | |
| (530) 934-6582 | |
| Not Available |
| Full Name | Ms Christina Wan Ha Wong |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 242 N Villa Ave, Willows, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811036502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS 24062 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Christina Wan Ha Wong, 242 N Villa Ave, Willows, CA 95988-2641 Ph: (530) 934-6459 | Ms Christina Wan Ha Wong, 242 N Villa Ave, Willows, CA 95988-2641 Ph: (530) 934-6582 |
Ms. Jennifer Christine Blackwell, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 242 N Villa Ave, Willows, CA 95988 Phone: 530-934-6582 Fax: 530-934-6592 | |
Ms. Dedra Ann Brooks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 242 N Villa Ave, Willows, CA 95988 Phone: 530-865-6459 Fax: 530-865-6483 | |
Mr. Maxwel Joseph Bryant, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 242 N Villa Ave, Willows, CA 95988 Phone: 530-934-6582 Fax: 530-934-6592 | |
Ms. Deana Lynn Fleming, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 201d N Tehama St, Willows, CA 95988 Phone: 530-934-8444 Fax: 530-934-5007 | |
Ms. Linyu Edith Solis, BA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 242 N Villa Ave, Willows, CA 95988 Phone: 530-865-6459 Fax: 530-865-6483 | |
Ophelia Raquel Cofer, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 242 N Villa Ave, Willows, CA 95988 Phone: 530-685-0043 | |
Miss Calley Marie Pfyl, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 242 N Villa Ave, Willows, CA 95988 Phone: 530-934-6582 |