| Timothy Wong, LMFT | |
|
2185 W Grant Line Rd, Tracy, CA 95377-7309 | |
| (209) 839-3200 | |
| Not Available |
| Full Name | Timothy Wong |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 2185 W Grant Line Rd, Tracy, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093970618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 80325 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Wong, LMFT 2185 W Grant Line Rd, Tracy, CA 95377-7309 Ph: (209) 839-3200 | Timothy Wong, LMFT 2185 W Grant Line Rd, Tracy, CA 95377-7309 Ph: (209) 839-3200 |
Mrs. Dana Marie Pinnelli, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 19 E 6th St, Tracy, CA 95376 Phone: 209-835-8583 | |
Mrs. Alicia M Warn, AMFT, APCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 35 E 10th St Ste A, Tracy, CA 95376 Phone: 209-666-1003 | |
Carmen C Silva, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 35 E 10th St Ste A, Tracy, CA 95376 Phone: 209-666-1003 | |
Karen Jennifer Mccrary, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2180 W Grant Line Rd Ste 218, Tracy, CA 95377 Phone: 925-980-5735 | |
Patricia Guerrero, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1660 W Linne Rd # J-23, Tracy, CA 95377 Phone: 209-640-1892 Fax: 209-221-7029 | |
Sirsey Martinez, MA, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1175 W 11th St, Tracy, CA 95376 Phone: 209-814-5251 |