Samuel J Wong is a Nephrology in Berkeley, California. Samuel J Wong practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Samuel J Wong is 1215034905. The last update date is 2015-03-05.
Samuel J Wong's current location address is 2905 Telegraph Ave, Berkeley, California. You can contact this provider via phone number 5108414525 and fax number 5108455030. The mailing address for Samuel J Wong is 2905 Telegraph Ave, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel J Wong |
|---|---|
| Address | 2905 Telegraph Ave, Berkeley, California |
| Phone Number | 5108414525 |
| Fax Number | 5108455030 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1215034905 |
|---|---|
| Provider Enumeration Date | 2006-09-17 |
| Last Updated Date | 2015-03-05 |
Provider Mailing Address Detail
| Address | 2905 Telegraph Ave |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947052017 |
| Phone Number | 5108414525 |
| Fax Number | 5108455030 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 20A5983 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00AX59830 | CA | -- | |
| 390004072 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Samuel J Wong by the Centers for Medicare & Medicaid Services?
The Samuel J Wong has been assigned the NPI (National Provider Identifier) 1215034905. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Samuel J Wong is geographically located?
The Samuel J Wong is physically situated at the following location: 2905 Telegraph Ave, Berkeley, CA, 947052017.
What is the Samuel J Wong's area of specialization and corresponding taxonomy classification?
The Samuel J Wong's specialty field is Nephrology, and it falls under the taxonomy code 207Rn0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215034905 to Samuel J Wong?
The Centers for Medicare & Medicaid Services originally issued the 1215034905 to Samuel J Wong on 2006-09-17.
As of what date was the information regarding Samuel J Wong, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Samuel J Wong, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-03-05.