| Maria Carla Gong, NP | |
|
8311 Florence Ave, Downey, CA 90240-3928 | |
| (702) 579-3203 | |
| Not Available |
| Full Name | Maria Carla Gong |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 8311 Florence Ave, Downey, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043895956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 95016747 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95016747 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthcare Partners Affiliates Medical Group | 7315842002 | 775 |
| Entity Name | Healthcare Partners Affiliates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
| Entity Name | Minuteclinic Diagnostic Medical Group of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289 |
| Entity Name | Minuteclinic Diagnostic Medical Group of Orange County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Carla Gong, NP Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 579-3203 | Maria Carla Gong, NP 8311 Florence Ave, Downey, CA 90240-3928 Ph: (702) 579-3203 |