Garret L Wong (NPI# 1174840383, PAC ID# 9830363100) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1174840383 |
| PAC ID by PECOS | 9830363100 |
| Professional Enrollment ID | I20111122000886 |
| Full Name | Garret L Wong |
| Organization Legal Name | DAVIS AND DEROSA PHYSICAL THERAPY INC |
| Address |
325 Main St El Segundo CA 90245-3814 |
| Phone Number | 3106483167 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7113954264 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 325 Main St, El Segundo, CA 90245-3814 | 3106483167 | DAVIS AND DEROSA PHYSICAL THERAPY INC |
| Organization Legal Name | DAVIS AND DEROSA PHYSICAL THERAPY INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher P Derosa | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| William Lyle Quibell | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| Lianne K Koo | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| Andrew Taeho Kim | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| Michael Overstreet | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| Miranda Jo Kerbawy | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| Alexandra Rimmer | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| Troy A Davis | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| Andrew Ryan Martin | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| Street Address |
325 MAIN ST |
| City | EL SEGUNDO |
| State | CA |
| Zip | 90245-3814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher P Derosa | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| Nicholas E Sakellarios | Internal Medicine | Rajeswara Rao Patcha Md PC | 325 Main St, Northport, NY 11768-1790 |
| William Lyle Quibell | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| Lianne K Koo | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| George Stover | Chiropractic | Vitality Chiropractic Inc | 325 Main St, Great Bend, PA 18821-9753 |
| Andrew Taeho Kim | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| Michael Overstreet | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| Miranda Jo Kerbawy | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| Brett A Mullen | Chiropractic | Vitality Chiropractic Inc | 325 Main St, Great Bend, PA 18821-9753 |
| Alexandra Rimmer | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Chamoun | Occupational Therapy | Made To Move Physical Therapy, Inc. | 615 N Nash St, Suite 306, El Segundo, CA 90245-0000 |
| Mayur M Mistry | Physical Therapy | Made To Move Physical Therapy, Inc. | 615 N Nash St, Suite 306, El Segundo, CA 90245-0000 |
| Meagan Patricia Senseny Callahan | Physical Therapy | Made To Move Physical Therapy, Inc. | 615 N Nash St, Suite 306, El Segundo, CA 90245-0000 |
| Michele K Mccarthy | Physical Therapy | Made To Move Physical Therapy, Inc. | 615 N Nash St, Suite 306, El Segundo, CA 90245-0000 |
| Kai Okamoto | Physical Therapy | Made To Move Physical Therapy, Inc. | 615 N Nash St, Suite 306, El Segundo, CA 90245-0000 |
| Danel Lombard | Physical Therapy | Made To Move Physical Therapy, Inc. | 615 N Nash St, Suite 306, El Segundo, CA 90245-0000 |
| Shelby Plummer | Physical Therapy | Made To Move Physical Therapy, Inc. | 615 N Nash St, Suite 306, El Segundo, CA 90245-0000 |
| Tiana M Hill | Physical Therapy | Made To Move Physical Therapy, Inc. | 615 N Nash St, El Segundo, CA 90245-0000 |
| Audra P Bado | Physical Therapy | Made To Move Physical Therapy, Inc. | 615 N Nash St, Suite 306, El Segundo, CA 90245-0000 |
| Sammy S Pyon | Chiropractic | 100 W Imperial Ave, Suite N, El Segundo, CA 90245-2287 | |
| Find all physicians in zip 90245 | |||
| City | EL SEGUNDO |
| Zip Code | 90245 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | EL SEGUNDO + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Garret L 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.