| Dr Christopher Wong, DO | |
|
500 Superior Ave Ste 335, Newport Beach, CA 92663-3681 | |
| (949) 706-1469 | |
| (949) 706-7307 |
| Full Name | Dr Christopher Wong |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 500 Superior Ave Ste 335, Newport Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528696200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | V0226 (Texas) | Secondary |
| 207N00000X | Dermatology | 20A22628 (California) | Primary |
| Entity Name | Oliver Street 5.01(a) Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Wong, DO 500 Superior Ave Ste 335, Newport Beach, CA 92663-3681 Ph: (949) 706-1469 | Dr Christopher Wong, DO 500 Superior Ave Ste 335, Newport Beach, CA 92663-3681 Ph: (949) 706-1469 |
Annette Mcauley, RN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439 | |
Joseph George Kamel, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 360 San Miguel Dr Ste 501, Newport Beach, CA 92660 Phone: 949-720-1170 | |
Dr. Lisa Yun Xu, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 5010 Campus Dr Ste 120, Newport Beach, CA 92660 Phone: 949-773-4784 | |
Laila M. Elkeeb, MD Dermatology Medicare: Medicare Enrolled Practice Location: 20301 Sw Birch St, 100, Newport Beach, CA 92660 Phone: 949-251-1502 Fax: 949-251-1522 | |
Dr. Cynthia Chen Lazzaro, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1617 Westcliff Dr, Suite 100, Newport Beach, CA 92660 Phone: 949-515-4111 | |
Samuel R Peterson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 360 San Miguel Dr Ste 309, Newport Beach, CA 92660 Phone: 949-640-0434 | |
Nancy Lee Silverberg, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660 Phone: 949-760-0190 Fax: 949-760-0439 |