| Thomas Wong, MD | |
|
2330 Utah Ave Ste 200, El Segundo, CA 90245-4817 | |
| (281) 766-0959 | |
| Not Available |
| Full Name | Thomas Wong |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 2330 Utah Ave Ste 200, El Segundo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528555869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 63753 (Tennessee) | Primary |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Wong, MD 1801 S Osprey Ave Unit 101, Sarasota, FL 34239-3608 Ph: () - | Thomas Wong, MD 2330 Utah Ave Ste 200, El Segundo, CA 90245-4817 Ph: (281) 766-0959 |
Mariam Wassef Hanna, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Nicholas D'alesio, DO, MPH Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Dr. David Lewis Lamar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Nisha Rao, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Dustin Lee Meyer, DO Radiology Medicare: Medicare Enrolled Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Christopher Tournade, MD Radiology Medicare: Medicare Enrolled Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Dr. Katie Jo Lester, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 |