Wise Fargo
M.D. | Pediatrics | Male
Wise Fargo, M.D. is a Loma Linda, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Wise Fargo is
11370 Anderson St, Ste B-100, Loma Linda, California - 92354-3450. He can be contacted on phone at
909-558-2848.
Wise Fargo is a sole proprietor of his business.
NPI number (Unique professional ID) for Wise Fargo is
1619990322 which was assigned by NPPES on 25 Jul, 2006 and it was last updated on 08 Jul, 2007.
Wise Fargo license number is
A39502 for Pediatrics (208000000X) in California.
Wise Fargo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Wise Fargo basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Wise Fargo |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Wise Fargo 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 : | 11370 Anderson St, Ste B-100
Loma Linda, CA, 92354-3450
United States |
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| Phone Number : | 909-558-2848 |
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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 : | 1619990322 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jul, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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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 Wise Fargo are as mentioned. Primary taxonomy code for Wise Fargo, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | A39502 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Wise Fargo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A395020 | MEDICAID | CA | |
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 : | 54701 File Number
Los Angeles, CA, 90074-4701
United States |
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| Phone Number : | 909-558-3111 |
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Business Location:
Patients can refer following map for directions to
Wise Fargo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.