Physician Compare National (NPI:1457529174)

HEALTHCARE PROVIDER: CHRISTOPHER C WONG M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1457529174
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012077159
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081119000906
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WONG
	Individual professional last name
Provider First Name	CHRISTOPHER
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2100 WEBSTER ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 207
	Group Practice or individual's line 2 address
City	SAN FRANCISCO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	941152375
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4159233188
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050047
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050008
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050131
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NOVATO COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050055
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CALIFORNIA PACIFIC MEDICAL CTR - ST. LUKE'S CAMPUS
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y