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NPI Code Detail

MEDICARE: TOMAS WONG WY M.D.

MEDICARE: TOMAS WONG WY M.D.
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
1207QA0505XAdult Medicine PhysicianC51576CA
2207Q00000XFamily Medicine PhysicianC51576CA

General Provider Information

NPI Number : 1447243811
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOMAS WONG WY M.D.
Provider Business Mailing Address
First Line : 300 N SAN ANTONIO RD
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93110-1316
Country : US
Telephone Number : 805-681-5461
Fax Number :
Provider Business Practice Location Address
First Line : 931 WALNUT AVE
Second Line :
City : CARPINTERIA
State : CA
Zip : 93013-2028
Country : US
Telephone Number : 805-560-1050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 10/17/2023

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Directions to “ TOMAS WONG WY M.D.” Practice Location

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