Individual ProviderVinson VongEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address4445 Magnolia Ave, Riverside, CA 92501-4135(951) 788-3537PECOS EnrollmentBased on the most recent information from CMS, provider Vinson Vong 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 2 days ago.Profile DetailsProvider ID1164050043Provider TypeIndividualFull NameVong, VinsonCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/27/2020Last Updated7/18/2023Contact InformationPractice LocationPractice Address4445 Magnolia Ave, Riverside, CA 92501-4135Phone(951) 788-3537FaxUnlisted FaxMailing LocationMailing Address4445 Magnolia Ave, Riverside, CA 92501-4135Phone(951) 788-3537FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseA179194California