| Wencheng Jen Md | |
|
416 W Las Tunas Dr Ste 305 San Gabriel CA 91776-1236 | |
| (626) 416-3051 | |
| (626) 478-1068 |
| Full Name | Wencheng Jen Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 416 W Las Tunas Dr Ste 305, San Gabriel, California |
| Authorized Official Name and Position | Wencheng Jen (PRESIDENT) |
| Authorized Official Contact | 6262971277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wencheng Jen Md 416 W Las Tunas Dr Ste 305 San Gabriel CA 91776-1236 Ph: (626) 416-3051 | Wencheng Jen Md 416 W Las Tunas Dr Ste 305 San Gabriel CA 91776-1236 Ph: (626) 416-3051 |
| NPI Number | 1154855278 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 04/14/2017 |
| Medicare PECOS PAC ID | 7416224878 |
|---|---|
| Medicare Enrollment ID | O20170606002920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154855278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A70481 (California) | Primary |
| Provider Name | Wencheng Jen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811915481 PECOS PAC ID: 4385534106 Enrollment ID: I20040316001455 |
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Super Care Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 E Valley Blvd, San Gabriel, CA 91776 Phone: 626-572-3088 Fax: 626-572-3688 | |
Medex Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127-b W Las Tunas Dr., San Gabriel, CA 91776 Phone: 626-457-8600 | |
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