OrganizationWingshan Lo-Gomez Do Inc(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address2900 Bristol St Ste C101, Costa Mesa, CA 92626-5943(424) 218-6015PECOS EnrollmentBased on the most recent information from CMS, provider Wingshan Lo-Gomez Do Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 20 days ago.Profile DetailsProvider ID1285196949Provider TypeOrganizationFull NameWingshan Lo-Gomez Do IncOther Name<Unavail>SubpartNoEnumeration Date4/2/2019Last Updated1/29/2024Contact InformationPractice LocationPractice Address2900 Bristol St Ste C101, Costa Mesa, CA 92626-5943Phone(424) 218-6015FaxUnlisted FaxMailing LocationMailing Address2900 Bristol St Ste C101, Costa Mesa, CA 92626-5943Phone(424) 218-6015FaxUnlisted FaxAuthorized OfficialNameLo-Gomez, Wingshan (President Ceo)Phone(424) 218-6015Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer