Kalane Jade Wong in Santa Rosa - Ophthalmology
Kalane Jade Wong - NPI 1114905494
Kalane Jade Wong is a Ophthalmology in Santa Rosa, California. Kalane Jade Wong practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Kalane Jade Wong is 1114905494. The last update date is 2012-06-20.
Kalane Jade Wong's current location address is 3536 Mendocino Ave, Santa Rosa, California. You can contact this provider via phone number 7075469800 and fax number 7075464112. The mailing address for Kalane Jade Wong is 3536 Mendocino Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kalane Jade Wong |
|---|---|
| Address | 3536 Mendocino Ave, Santa Rosa, California |
| Phone Number | 7075469800 |
| Fax Number | 7075464112 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114905494 |
|---|---|
| Provider Enumeration Date | 2006-01-05 |
| Last Updated Date | 2012-06-20 |
Provider Mailing Address Detail
| Address | 3536 Mendocino Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954033634 |
| Phone Number | 7075469800 |
| Fax Number | 7075464112 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | G62085 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01035552 | RAILROAD MEDICARE | ||
| 00G620850 | CA | -- |
Post Comment/ Review Below
What is the Kalane Jade Wong's 1114905494?
The Kalane Jade Wong's NPI (National Provider Identifier) Number is 1114905494. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kalane Jade Wong is physically located?
The Kalane Jade Wong is situated at the following address: 3536 Mendocino Ave, Santa Rosa, CA 954033634.
What is Kalane Jade Wong's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kalane Jade Wong's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114905494 to Kalane Jade Wong?
The Centers for Medicare & Medicaid Services originally issued the 1114905494 to Kalane Jade Wong on 2006-01-05.
As of what date were the details pertaining to Kalane Jade Wong last refreshed?
The information related to the Kalane Jade Wong, including its address, specialty, and other relevant details, was last updated on 2012-06-20.