| Meagan Wong, DO | |
|
4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 | |
| (310) 827-3700 | |
| Not Available |
| Full Name | Meagan Wong |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 4560 Admiralty Way Ste 100, Marina Del Rey, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568818227 | NPI | - | NPPES |
| G8995530 | Other | WA | MEDICARE W VALLEY MEDICAL GROUP - RENTON |
| 2062034 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A16538 (California) | Secondary |
| 207Q00000X | Family Medicine | OP60667680 (Washington) | Primary |
| Entity Name | Healthpoint |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831199454 PECOS PAC ID: 9335042886 Enrollment ID: O20040206000245 |
| Entity Name | Valley Medical Group-renton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Meagan Wong, DO 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Meagan Wong, DO 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292-5424 Ph: (310) 827-3700 |
Cathia Vazquez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-656-1770 Fax: 310-578-5379 | |
Dr. Brian Antony Boben, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13160 Mindanao Way Ste 301, Marina Del Rey, CA 90292 Phone: 310-301-0230 Fax: 310-301-0233 | |
Dr. Michael Gorniowsky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4644 Lincoln Blvd, Suite 428, Marina Del Rey, CA 90292 Phone: 310-306-1888 Fax: 310-577-8290 | |
Edward King, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 | |
Ahmed Ashary, Family Medicine Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 | |
Dr. Layla Nina Farrahi, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 Fax: 310-578-5379 | |
Christine Evette Sayegh, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way Ste 100, Marina Del Rey, CA 90292 Phone: 310-827-3700 |