| Brandon Wong, PA-C | |
|
121 Barboza St, Mendota, CA 93640-1901 | |
| (559) 655-5000 | |
| Not Available |
| Full Name | Brandon Wong |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 121 Barboza St, Mendota, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497377048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 58085 (California) | Primary |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Wong, PA-C 3875 W Beechwood Ave, Fresno, CA 93711-0795 Ph: Not Available | Brandon Wong, PA-C 121 Barboza St, Mendota, CA 93640-1901 Ph: (559) 655-5000 |
Robert Mcleod, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 Oller St, Ste 101, Mendota, CA 93640 Phone: 559-655-1000 Fax: 559-655-7402 |
Norma Gabriela Figueroa, Physician Assistant Medicare: Medicare Enrolled Practice Location: 121 Barboza St, Mendota, CA 93640 Phone: 800-492-4227 |
Dev Singh Rai, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 507 Oller St, Mendota, CA 93640 Phone: 559-655-4211 Fax: 559-655-5256 |