Individual ProviderJessica WangPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address675 W Foothill Blvd Ste 200, Claremont, CA 91711-3475(925) 282-1778PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Wang is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1528588555Provider TypeIndividualFull NameWang, JessicaTitleDr.CredentialDOGenderFemaleSole ProprietorYesEnumeration Date6/21/2017Last Updated8/23/2024Contact InformationPractice LocationPractice Address675 W Foothill Blvd Ste 200, Claremont, CA 91711-3475Phone(925) 282-1778Fax(415) 296-5299Mailing LocationMailing Address675 W Foothill Blvd Ste 200, Claremont, CA 91711-3475Phone(925) 282-1778Fax(415) 296-5299Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense20A18814CaliforniaCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseOT018118Pennsylvania