Jeffrey E Wong (NPI# 1164790507, PAC ID# 0446476170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1164790507 |
| PAC ID by PECOS | 0446476170 |
| Professional Enrollment ID | I20151016001671 |
| Full Name | Jeffrey E Wong |
| Organization Legal Name | SOUTH COUNTY ORTHOPEDIC SPECIALISTS |
| Address |
18785 Brookhurst St Suite 100 Fountain Valley CA 92708-7300 |
| Phone Number | 7145005056 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 4284527987 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050678 | ORANGE COAST MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 18785 Brookhurst St, Suite 100, Fountain Valley, CA 92708-7300 | 7145005056 | SOUTH COUNTY ORTHOPEDIC SPECIALISTS |
| Organization Legal Name | SOUTH COUNTY ORTHOPEDIC SPECIALISTS |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryce A Johnson | Orthopedic Surgery | South County Orthopedic Specialists | 24331 El Toro Rd, Suite 200, Laguna Woods, CA 92637-3116 |
| Ari R Youderian | Orthopedic Surgery | South County Orthopedic Specialists | 24331 El Toro Rd, Suite 200, Laguna Woods, CA 92637-3116 |
| Arash Aminian | Orthopedic Surgery | South County Orthopedic Specialists | 24331 El Toro Rd, Suite 200, Laguna Woods, CA 92637-3116 |
| Lonnie Jay Moskow | Hand Surgery | South County Orthopedic Specialists | 24331 El Toro Rd, Suite 200, Laguna Woods, CA 92637-3116 |
| Nimish R Kadakia | Orthopedic Surgery | South County Orthopedic Specialists | 24331 El Toro Rd, Suite 200, Laguna Woods, CA 92637-3116 |
| Tony Nguyen | Physician Assistant | South County Orthopedic Specialists | 24331 El Toro Rd, Suite 200, Laguna Woods, CA 92637-3116 |
| Kyle Wayne Coker | Hand Surgery | South County Orthopedic Specialists | 24331 El Toro Rd, Suite 200, Laguna Woods, CA 92637-3116 |
| Larry M Gersten | Orthopedic Surgery | South County Orthopedic Specialists | 24331 El Toro Rd, Suite 200, Laguna Woods, CA 92637-3116 |
| Stacy R Cohen Tomlan | Physician Assistant | South County Orthopedic Specialists | 24331 El Toro Rd, Suite 200, Laguna Woods, CA 92637-3116 |
| Christopher J Veneziano | Orthopedic Surgery | South County Orthopedic Specialists | 24331 El Toro Rd, Suite 200, Laguna Woods, CA 92637-3116 |
| Street Address |
18785 BROOKHURST ST SUITE 100 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip | 92708-7300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Allen | Family Medicine | Coastal Family Medicine Inc | 18785 Brookhurst St, Suite 200, Fountain Valley, CA 92708-7300 |
| Dana Yan | Family Medicine | Coastal Family Medicine Inc | 18785 Brookhurst St, Suite 200, Fountain Valley, CA 92708-7300 |
| Katayun Saadai | Internal Medicine | Coastal Family Medicine Inc | 18785 Brookhurst St, Suite 200, Fountain Valley, CA 92708-7300 |
| Jennifer L Shoquist | Family Medicine | Coastal Family Medicine Inc | 18785 Brookhurst St, Suite 200, Fountain Valley, CA 92708-7300 |
| Brian C Coyne | Family Medicine | Coastal Family Medicine Inc | 18785 Brookhurst St, Suite 200, Fountain Valley, CA 92708-7300 |
| Lincoln E Tom | Family Medicine | Coastal Family Medicine Inc | 18785 Brookhurst St, Suite 101, Fountain Valley, CA 92708-7300 |
| Thomas F Besley | General Practice | Coastal Family Medicine Inc | 18785 Brookhurst St, Suite 200, Fountain Valley, CA 92708-7300 |
| Francis K Foo | Family Practice | Coastal Family Medicine Inc | 18785 Brookhurst St, Fountain Valley, CA 92708-7300 |
| Nasreen Safdar Rahman | Nurse Practitioner | Coastal Family Medicine Inc | 18785 Brookhurst St, Fountain Valley, CA 92708-7300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ranjan Sapra | Hematology/oncology | 11190 Warner Ave, Suite 405, Fountain Valley, CA 92708-0000 | |
| Kinh Tu Tran | Family Medicine | 15975 Harbor Blvd, Fountain Valley, CA 92708-1303 | |
| Hiep Truong | Obstetrics/gynecology | 15975 Harbor Blvd, Fountain Valley, CA 92708-1303 | |
| Anh Linh T Nguyen | Optometry | 16125 Harbor Blvd, Fountain Valley, CA 92708-1305 | |
| Hoang T Nguyen | Internal Medicine | 16040 Harbor Blvd G, Fountain Valley, CA 92708-1327 | |
| Tuan Manh Hoang | Oral Surgery | 16045 Brookhurst St, Fountain Valley, CA 92708-1544 | |
| Raif W Iskander | Physician Assistant | Xtra Care Medical Group | 16171 Brookhurst St, Fountain Valley, CA 92708-1550 |
| Phong Huy Bui | Internal Medicine | 16055 Brookhurst St, Suite C, Fountain Valley, CA 92708-1566 | |
| Gordon K Ota | Optometry | Nhat Le-huynh Od A Professional Corporation | 10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619 |
| Kim Nhat Nguyen Le Huynh | Optometry | Nhat Le-huynh Od A Professional Corporation | 10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619 |
| Find all physicians in zip 92708 | |||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | FOUNTAIN VALLEY + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jeffrey E 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.