| Robert J. Wielenga, Md, A Professional Corporation | |
|
10835 New St Downey CA 90241-3714 | |
| (562) 923-9100 | |
| (562) 923-9103 |
| Full Name | Robert J. Wielenga, Md, A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 10835 New St, Downey, California |
| Authorized Official Name and Position | Robert James Wielenga (CEO) |
| Authorized Official Contact | 5629239100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J. Wielenga, Md, A Professional Corporation 10835 New St Downey CA 90241-3714 Ph: (562) 923-9100 | Robert J. Wielenga, Md, A Professional Corporation 10835 New St Downey CA 90241-3714 Ph: (562) 923-9100 |
| NPI Number | 1043363807 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 02/26/2020 |
| Medicare PECOS PAC ID | 4587789227 |
|---|---|
| Medicare Enrollment ID | O20100917000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043363807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G81044 (California) | Primary |
| Provider Name | Robert J Wielenga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952469850 PECOS PAC ID: 3476678111 Enrollment ID: I20100917000528 |
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