| Dr Jorge Wong, PHD | |
|
2400 Moorpark Ave, Suite 300, San Jose, CA 95128-2631 | |
| (408) 975-2730 | |
| (408) 975-2745 |
| Full Name | Dr Jorge Wong |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 2400 Moorpark Ave, San Jose, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689735284 | NPI | - | NPPES |
| PSY21180 | Other | CA | CINICAL PSYCHOLOGY LICENS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY21180 (California) | Primary |
| Entity Name | County of Alameda |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780716381 PECOS PAC ID: 9739070624 Enrollment ID: O20040323001169 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jorge Wong, PHD 46 Race St, San Jose, CA 95126-3130 Ph: (408) 961-9818 | Dr Jorge Wong, PHD 2400 Moorpark Ave, Suite 300, San Jose, CA 95128-2631 Ph: (408) 975-2730 |
Dr. Rethel E. Gill, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1927 Otoole Way, San Jose, CA 95131 Phone: 707-861-8276 |
Courtney Kerr, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4850 Union Ave, San Jose, CA 95124 Phone: 800-913-2615 Fax: 408-559-3158 |
Marie Roman-clifton, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Psychology Services-pm&r, San Jose, CA 95128 Phone: 408-885-4445 |
Dr. Jennifer Gregg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Dept Of Psychology, One Washington Square, San Jose, CA 95192 Phone: 650-743-7230 |
Dr. Victoria Wu, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 760 Newhall Dr # 1022, San Jose, CA 95110 Phone: 669-319-8657 |
Ms. Nicole Alvarez Bautista, BA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Moorpark Ave, San Jose, CA 95128 Phone: 408-975-2730 |
Maritza Aguilar, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3235 Union Ave, San Jose, CA 95124 Phone: 408-626-3405 |