Dr Garrett Wong, MD | |
21601 Avalon Blvd Apt 527, Carson, CA 90745-2476 | |
(909) 519-1961 | |
Not Available |
Full Name | Dr Garrett Wong |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 21601 Avalon Blvd Apt 527, Carson, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457813867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 4474 (California) | Primary |
Entity Name | Usc Care Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
Entity Name | Michael Decker Do, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528410842 PECOS PAC ID: 9830481746 Enrollment ID: O20160714000122 |
Mailing Address | Practice Location Address |
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Dr Garrett Wong, MD 21601 Avalon Blvd Apt 527, Carson, CA 90745-2476 Ph: (909) 519-1961 | Dr Garrett Wong, MD 21601 Avalon Blvd Apt 527, Carson, CA 90745-2476 Ph: (909) 519-1961 |
Brian Kent Low, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 20401 South Avalon Blvd, Suite C, Carson, CA 90746 Phone: 310-632-5795 Fax: 310-632-5842 | |
Mr. Fulbert Brad Beltran Fernandez, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 22524 Moneta Ave, Carson, CA 90745 Phone: 760-351-6862 |