David J Wong (NPI# 1316972201, PAC ID# 4486689700) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1316972201 |
| PAC ID by PECOS | 4486689700 |
| Professional Enrollment ID | I20051005000470 |
| Full Name | David J Wong |
| Address |
2020 Standiford Ave Bldg E Suite 1 Modesto CA 95350-6529 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2002 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050441 | STANFORD HEALTH CARE |
| Address | Phone | Organization |
|---|---|---|
| 2020 Standiford Ave Bldg E, Suite 1, Modesto, CA 95350-6529 | ||
| 420 Broadway St, Redwood City, CA 94063-3132 | 6507238561 | STANFORD HEALTH CARE |
| 450 Broadway St, Redwood City, CA 94063-3132 | 6507238561 | STANFORD HEALTH CARE |
| 300 Pasteur Dr, Stanford, CA 94305-2200 | 6507234000 | STANFORD HEALTH CARE |
| Street Address |
2020 STANDIFORD AVE BLDG E SUITE 1 |
| City | MODESTO |
| State | CA |
| Zip | 95350-6529 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ladan P Hashemi | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Ashley Marruffo | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Jessica F Hoffman | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Lynne M Butner | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| Ronald J Mostowski | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| David A Heersink | Chiropractic | 1367 Standiford Ave, Modesto, CA 95350-0700 | |
| Mariza M Del Rosario-garcia | Psychiatry | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Rean Hong | Clinical Psychologist | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Michael Taylor | Chiropractic | 1421 Standiford Ave, B, Modesto, CA 95350-0730 | |
| Jeanne Abbott | Clinical Social Worker | 3300 Tully Rd, Suite C1, Modesto, CA 95350-0849 | |
| Find all physicians in zip 95350 | |||
| City | MODESTO |
| Zip Code | 95350 |
| Specialty | DERMATOLOGY |
| City + Specialty | MODESTO + DERMATOLOGY |
Please comment or provide details below to improve the information on David J Wong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.