| Olivian Wong, NP | |
|
100 Ucla Medical Plaza, Suite 345, Los Angeles, CA 90095-6999 | |
| (310) 206-6279 | |
| Not Available |
| Full Name | Olivian Wong |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 100 Ucla Medical Plaza, Los Angeles, 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 |
|---|---|---|---|
| 1588343230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95025887 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amg A Professional Medical Corp | 9830092279 | 19 |
| Entity Name | Amg A Professional Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558306266 PECOS PAC ID: 9830092279 Enrollment ID: O20040131000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivian Wong, NP 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707 | Olivian Wong, NP 100 Ucla Medical Plaza, Suite 345, Los Angeles, CA 90095-6999 Ph: (310) 206-6279 |
Prof. Antoinette Zaragoza, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 S. Fetterly Ave, Roybal Comprehensive Chc, Los Angeles, CA 90022 Phone: 323-780-2216 | |
Maria Del Carmen Castillo, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 E 1st St, Los Angeles, CA 90063 Phone: 323-262-6935 Fax: 323-262-3109 | |
Anna Teresa Mendoza Tsay, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3913 York Blvd, Los Angeles, CA 90065 Phone: 323-532-1900 | |
Sherry Hefner Medrano, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 S Mathews St, Los Angeles, CA 90033 Phone: 323-780-6502 Fax: 323-780-6685 | |
Miss Martha Emily Muriel, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2829 S Grand Ave, Room # 213, Los Angeles, CA 90007 Phone: 213-744-6120 Fax: 213-749-6601 | |
Woosin Chung, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 N Vermont Ave Fl 2, Los Angeles, CA 90027 Phone: 213-220-9190 | |
Maria Imelda Bautista-durand, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 S Flower St, Los Angeles, CA 90007 Phone: 213-742-1000 |