Vivian Wong, is a
Student In An Organized Health Care Education/training Program based in La Jolla, California. Vivian Wong is licensed to practice in * (Not Available) (license number ) and her current practice location is
9500 Gilman Dr, La Jolla, California. She can be reached at her office (for appointments etc.) via phone at
(858) 534-0830.
NPI number for Vivian Wong is 1629860143 and her current mailing address is 9500 Gilman Dr, La Jolla, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629860143.
Provider's Profile
| Full Name | Vivian Wong |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 9500 Gilman Dr, La Jolla, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629860143
- Provider Enumeration Date: 05/20/2025
- Last Update Date: 05/20/2025
Medical Identifiers
Medical identifiers for Vivian Wong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629860143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vivian Wong is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vivian Wong,
9500 Gilman Dr,
La Jolla, CA 92093-5004
Ph: (858) 534-2230 | Vivian Wong,
9500 Gilman Dr,
La Jolla, CA 92093-2442
Ph: (858) 534-0830 |
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