Look up the most recent NPI and PECOS records

Wingshan Lo-Gomez Do Inc

(Glo Health Do)

Family Medicine

Allopathic & Osteopathic Physicians

2900 Bristol St Ste C101, Costa Mesa, CA 92626-5943

PECOS Enrollment

Based on the most recent information from CMS, provider Wingshan Lo-Gomez Do Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1285196949
Provider Type
Organization
Full Name
Wingshan Lo-Gomez Do Inc
Other Name
Glo Health Do

Subpart
No
Enumeration Date
4/2/2019
Last Updated
1/29/2024

Contact Information

Practice Location

2900 Bristol St Ste C101, Costa Mesa, CA 92626-5943

(424) 218-6015

Unlisted Fax

Mailing Location

2900 Bristol St Ste C101, Costa Mesa, CA 92626-5943

(424) 218-6015

Unlisted Fax

Authorized Official

Lo-Gomez, Wingshan (President Ceo)

(424) 218-6015

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer

Wingshan Lo-Gomez Do Inc

(Glo Health Do)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

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Nguyen, An Thi-Ngoc

Williams, Jared

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Senaati, Shayan

Le, Hung Van

Pollack, Stella D

Ferguson, James Homer

Bangsil, Ronald Yusi