Jennifer L Wong
Medical Specialty
Professional ID
- NPI: 1013029065
- PECOS ID: 2264441864
- Enrollment ID: I20060410000455
- Credential(MD, DO, DPM): MD
- Medical School: University Of California San Diego School Of Medicine
- Medical School Graduation Year: 2002
Hospital Service
- Hospital CCN1: 050678
- Business Name (LBN)1: Orange Coast Memorial Medical Center
- Hospital CCN2: 050224
- Business Name (LBN)2: Hoag Memorial Hospital Presbyterian
- Hospital CCN3: 050570
- Business Name (LBN)3: Fountain Valley Regional Hospital Medical Center
- Hospital CCN4: 050769
- Business Name (LBN)4: Hoag Orthopedic Institute
Medical Practices
- Organization Name: California Heart Associates
- Group Practice ID assigned by PECOS: 3375519762
- Number of Group Practice member: 11
Location
- Address1: 18111 Brookhurst St
- Address2: Suite 5100
- City: Fountain Valley
- State: California
- Zip Code: 92708
- Phone Number: (714)546-2238
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes