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Organization
HANSON P WONG M D
Active
Organization
HANSON P WONG M D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANSON PAO-SANG WONG M.D. (OWNER)
(562) 804-7223
Entity
Organization
Contact information
Practice address
10230 ARTESIA BLVD, SUITE 201, BELLFLOWER, CA 90706-6768
(562) 804-7223
(562) 804-0165
Mailing address
10230 ARTESIA BLVD, SUITE 201, BELLFLOWER, CA 90706-6768
(562) 804-7223
(562) 804-0165
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G63718
CA
208000000X
Pediatrics Physician
G63718
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W13907
MEDICARE PROVIDER NUMBER
CA
Enumeration date
05/04/2007
Last updated
04/19/2011
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