DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SAMUEL J WONG DO

MEDICARE: DR. SAMUEL J WONG DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician20A5983CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2390004072OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215034905
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL J WONG DO
Provider Business Mailing Address
First Line : 2905 TELEGRAPH AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94705-2017
Country : US
Telephone Number : 510-841-4525
Fax Number : 510-845-5030
Provider Business Practice Location Address
First Line : 2905 TELEGRAPH AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94705-2017
Country : US
Telephone Number : 510-841-0411
Fax Number : 510-204-9086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2006
Last Update Date : 03/05/2015

Similar Medicare Providers

1790937506 — DR. LORI ELLEN MOURATOFF M.D.
Practice Location Address:
2905 TELEGRAPH AVE
BERKELEY, CA
94705-2017
Practice Phone: 510-224-4181
Practice Fax: 510-848-9970
1003780859 — LORI SHORE MD, INC
Practice Location Address:
2905 TELEGRAPH AVE
BERKELEY, CA
94705-2017
Practice Phone: 510-224-8141
Practice Fax: 510-848-9970
1982638573 — ROYAL MEDICAL INC
Practice Location Address:
2929 TELEGRAPH AVE
BERKELEY, CA
94705-2017
Practice Phone: 510-843-3201
Practice Fax: 510-843-0308
1578571030 — ROYAL MEDICAL INC.
Practice Location Address:
2929 TELEGRAPH AVE
BERKELEY, CA
94705-2017
Practice Phone: 510-540-0494
Practice Fax:
1629175310 — MARIA ENRICA DIAZ PAGTALUNAN MD
Practice Location Address:
2905 TELEGRAPH AVE
BERKELEY, CA
94705-2017
Practice Phone: 510-841-4525
Practice Fax: 510-204-9086
1255485900 — SIMARJIT K. DHALIWAL MD
Practice Location Address:
2905 TELEGRAPH AVE
BERKELEY, CA
94705-2017
Practice Phone: 510-841-4525
Practice Fax: 510-848-9970

Directions to “ DR. SAMUEL J WONG DO” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.