Look up the most recent NPI and PECOS records

Wingshan Lo-Gomez

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 is legally eligible to order and refer claims for DME and PMD services only.

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

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1609141068
Provider Type
Individual
Full Name
Lo-Gomez, Wingshan
Credential
D.O.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/19/2012
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

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 20A12965 California

Wingshan Lo-Gomez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kariya, Ena M

Wingshan Lo-Gomez Do Inc

Ahmed, Nazli

Williams, Jared

Phan, Thao Minh

Doshi, Rachit

Hoag Medical Group Inc.

Dewing, Tarlan Ariana

Wass, Adam M

Do, Hau