Provider Demographics
NPI:1922166305
Name:WONG, PATRICIA CHEOY (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:CHEOY
Last Name:WONG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1515 SCOTT ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3511
Mailing Address - Country:US
Mailing Address - Phone:415-771-4020
Mailing Address - Fax:415-771-4095
Practice Address - Street 1:1515 SCOTT ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3511
Practice Address - Country:US
Practice Address - Phone:415-771-4020
Practice Address - Fax:415-771-4095
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2008-02-04
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Provider Licenses
StateLicense IDTaxonomies
CAG76306207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G763060Medicaid
CA00G763060Medicare ID - Type Unspecified
CA00G763060Medicaid