Carolyn Marie Wong (NPI# 1306971429, PAC ID# 7113053141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1306971429 |
| PAC ID by PECOS | 7113053141 |
| Professional Enrollment ID | I20100330000338 |
| Full Name | Carolyn Marie Wong |
| Address |
11540 Santa Monica Blvd Suite 202 Los Angeles CA 90025-7905 |
| Phone Number | 3104735464 |
| Gender | F |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1982 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11540 Santa Monica Blvd, Suite 202, Los Angeles, CA 90025-7905 | 3104735464 |
| Street Address |
11540 SANTA MONICA BLVD SUITE 202 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90025-7905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Moossazadeh | Family Medicine | 11540 Santa Monica Blvd, Suite 204, Los Angeles, CA 90025-7905 | |
| Susan V Massey | Nurse Practitioner | 11540 Santa Monica Blvd, Suite 201, Los Angeles, CA 90025-7905 | |
| Mary Beth Hughes | Physician Assistant | 11540 Santa Monica Blvd, Suite 201, Los Angeles, CA 90025-7905 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Galligani | Clinical Social Worker | 12340 Santa Monica Blvd, Suite 307, Los Angeles, CA 90025-0348 | |
| Bijan Nikakhtar | Nephrology | 12340 Santa Monica Blvd, West Los Angeles, CA 90025-0405 | |
| Kathy H.k. Langevin | Dermatology | Joshua M Wieder Md Inc | 12301 Wilshire Blvd, Suite 201, Los Angeles, CA 90025-1000 |
| Joshua M Wieder | Dermatology | Joshua M Wieder Md Inc | 12301 Wilshire Blvd, Suite 201, Los Angeles, CA 90025-1000 |
| Gloria Elizabeth Mucino | Clinical Social Worker | 12301 Wilshire Blvd, Suite 210, Los Angeles, CA 90025-1000 | |
| Anne V Mcarthur | Physical Therapy | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 | |
| Joan I Essenmacher | Physical Therapy | Peak Performance Consulting Inc | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 |
| Pallavi Jakatdar | Physical Therapy | Peak Performance Consulting Inc | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 |
| Robert Kilroy | Chiropractic | 12401 Wilshire Blvd, Suite 104, Los Angeles, CA 90025-1015 | |
| Shannon Collins | Physical Therapy | Peak Performance Consulting Inc | 12401 Wilshire Blvd, Suite 105, Los Angeles, CA 90025-1015 |
| Find all physicians in zip 90025 | |||
| City | LOS ANGELES |
| Zip Code | 90025 |
| Specialty | OPTOMETRY |
| City + Specialty | LOS ANGELES + OPTOMETRY |
Please comment or provide details below to improve the information on Carolyn Marie 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.