| Dr Christine S Wong, MD | |
|
1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 | |
| (415) 456-9680 | |
| Not Available |
| Full Name | Dr Christine S Wong |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Vascular Neurology |
| Location | 1125 Sir Francis Drake Blvd, Kentfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982865770 | NPI | - | NPPES |
| A100538 | Other | CA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 913102 (California) | Secondary |
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | 913102 (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 |
| Entity Name | Ucsf Medical Group Business Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
| Entity Name | Pacific Inpatient Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447447248 PECOS PAC ID: 6608956966 Enrollment ID: O20071228000213 |
| Entity Name | David Palestrant Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942507405 PECOS PAC ID: 0446436398 Enrollment ID: O20110511000221 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christine S Wong, MD 601 Van Ness Ave # E3619, San Francisco, CA 94102-3200 Ph: (415) 531-9047 | Dr Christine S Wong, MD 1125 Sir Francis Drake Blvd, Kentfield, CA 94904-1418 Ph: (415) 456-9680 |
Glenn Arman Cornell, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1036 Sir Francis Drake Blvd, Kentfield, CA 94904 Phone: 415-457-4332 Fax: 415-451-4755 | |
Dr. Edwyne D Nazarian, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1036 Sir Francis Drake Blvd, Kentfield, CA 94904 Phone: 415-456-9500 Fax: 415-456-6604 | |
Dr. Gordon David Baumbacher, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 810 College Ave Ste 3, Kentfield, CA 94904 Phone: 415-924-3840 Fax: 415-924-3841 | |
Dr. Michael Allan Freeman, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1036 Sir Francis Drake Blvd, Kentfield, CA 94904 Phone: 415-378-6678 Fax: 415-888-3149 | |
Dr. Stephen M. Raffle, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 35 Wolfe Grade, Kentfield, CA 94904 Phone: 415-461-4845 Fax: 415-461-4039 | |
Mrs. Sarah Marie Centeno, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1030 Sir Francis Drake Blvd, Suite 100, Rm 1, Kentfield, CA 94904 Phone: 415-927-7097 Fax: 415-449-3532 | |
Dr. Jeanette Rhoads Margolin, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1036 Sir Francis Drake Blvd, Kentfield, CA 94904 Phone: 415-457-4408 |