Mrs Theodora Wong, MD, RD is a medicare enrolled "Physical Medicine & Rehabilitation" provider in City Of Industry, California. She went to Un Of California, Irvine, College Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Orca Rehab Inc and her current practice location is
12801 Crossroads Pkwy S, City Of Industry, California. You can reach out to her office (for appointments etc.) via phone at
(562) 463-4357.
Mrs Theodora Wong is licensed to practice in California (license number A187282) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558881292.
Healthcare Provider's Profile
| Full Name | Mrs Theodora Wong |
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| Gender | Female |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 6 Years |
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| Location | 12801 Crossroads Pkwy S, City Of Industry, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Theodora Wong attended and graduated from Un Of California, Irvine, College Of Medicine in 2020
NPI Data:
- NPI Number: 1558881292
- Provider Enumeration Date: 06/23/2017
- Last Update Date: 07/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 0143642173
- Enrollment ID: I20241031000780
Medical Identifiers
Medical identifiers for Mrs Theodora Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558881292 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 1041101 (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | A187282 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Orca Rehab Inc | 6901281484 | 17 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Theodora Wong allows following entities to bill medicare on her behalf.
| Provider Name | Southern California Permanente Medical Group |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Theodora Wong is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Theodora Wong, MD, RD 13522 Newport Ave Ste 100, Tustin, CA 92780-3707 Ph: (626) 215-7996 | Mrs Theodora Wong, MD, RD 12801 Crossroads Pkwy S, City Of Industry, CA 91746-3502 Ph: (562) 463-4357 |
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