| Jonathan G Wiens, MD | |
|
2071 Herndon Ave, Clovis, CA 93611-6101 | |
| (559) 324-5100 | |
| Not Available |
| Full Name | Jonathan G Wiens |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 2071 Herndon Ave, Clovis, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063590883 | NPI | - | NPPES |
| 00G685920 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | G68592 (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 |
|---|---|
| Jonathan G Wiens, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Jonathan G Wiens, MD 2071 Herndon Ave, Clovis, CA 93611-6101 Ph: (559) 324-5100 |
Muhammad K. Akbar, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2071 Herndon Ave, Clovis, CA 93611 Phone: 559-324-5035 Fax: 559-324-5575 | |
Steven Joseph Thuringer, PT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 255 W Bullard Ave, Suite 114, Clovis, CA 93612 Phone: 559-299-0344 Fax: 559-299-0391 | |
Thomas James O'laughlin, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 255 W Bullard Ave Ste 112, Clovis, CA 93612 Phone: 559-498-0268 Fax: 559-498-0269 | |
Joseph Chin, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2071 Herndon Ave, Clovis, CA 93611 Phone: 559-978-1815 | |
Erika Mcfarland, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2760 Parkwall Ln, Clovis, CA 93619 Phone: 559-326-9607 |