Jerome K Wang

M.D. | Pediatrics | Male

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Complete Profile:

Jerome K Wang basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Jerome K Wang
Credential :	M.D.
Gender :	Male

Business Address:

Jerome K Wang address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	4300 Rose Dr Yorba Linda, CA, 92886-2026 United States
Phone Number :	714-577-6652
Fax Number :	714-223-6777

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1326076746
NPI Entity Type :	Individual
First Enrolment Date :	28 Jun, 2006
Last Updated On :	11 Nov, 2021

Medicare Participation:

Jerome K Wang participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3870548878
Medicare Enrollment ID :	I20050311000989
Primary Specialty :	Pediatric Medicine
Medical School :	University Of California, Geffen School Of Medicine
Graduation Year :	1996
Accepts Medicare?	Yes. Jerome K Wang accepts medicare insurance.

Group Practice Association:

Jerome K Wang is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jerome K Wang is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Providence Medical Foundation	8921993205	1226	4300 Rose Dr Yorba Linda, CA - 928862026 Ph: 7145776601	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerome K Wang are as mentioned. Primary taxonomy code for Jerome K Wang, M.D. is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	Yes	A63432	CA

Other Practice Locations:

Practice Address	City, State	Phone Number
8501 WILSHIRE BLVD, 201 BEVERLY HILLS, CA, 90211-3150 United States	BEVERLY HILLS, CA	310-967-1884

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	4300 Rose Dr Yorba Linda, CA, 92886-2026 United States
Phone Number :	714-577-6652
Fax Number :	714-223-6777

Business Location:

Patients can refer following map for directions to Jerome K Wang practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.