Wingshan Lo-Gomez | Costa Mesa, CA • PECOS Search

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 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 24 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

Unlisted Fax

Mailing Location

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

Unlisted Fax

Provider Taxonomies

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