| Elain Wen-shang Tong, Do Inc | |
|
18 Endeavor Ste 304 Irvine CA 92618-3177 | |
| (714) 556-8664 | |
| (714) 556-8665 |
| Full Name | Elain Wen-shang Tong, Do Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 18 Endeavor Ste 304, Irvine, California |
| Authorized Official Name and Position | Elain Tong (PRESIDENT) |
| Authorized Official Contact | 7145568664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elain Wen-shang Tong, Do Inc 18 Endeavor Ste 304 Irvine CA 92618-3177 Ph: (714) 556-8664 | Elain Wen-shang Tong, Do Inc 18 Endeavor Ste 304 Irvine CA 92618-3177 Ph: (714) 556-8664 |
| NPI Number | 1053144741 |
|---|---|
| Provider Enumeration Date | 08/20/2024 |
| Last Update Date | 08/27/2024 |
| Medicare PECOS PAC ID | 6305386046 |
|---|---|
| Medicare Enrollment ID | O20240910000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053144741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| Provider Name | Elain W Tong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164610713 PECOS PAC ID: 4981762556 Enrollment ID: I20090501000249 |
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