| Stephanie Kong, MD | |
|
2500 Merced St, San Leandro, CA 94577-4201 | |
| (510) 807-1557 | |
| Not Available |
| Full Name | Stephanie Kong |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 2500 Merced St, San Leandro, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083091748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A135667 (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 | County Of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Kong, MD 6310 Contra Costa Rd, Oakland, CA 94618-2145 Ph: () - | Stephanie Kong, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 807-1557 |
Clara Lee, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Marie Louise La Cour, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Colleen Marie Kavanagh, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Alicia Pamela Sinclair, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Leslie Gendler Wilkof, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Stephanie Cai, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St # 406, San Leandro, CA 94577 Phone: 510-427-3408 |