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Organization
TIMOTHY C WONG, OD, APC
Active
Organization
TIMOTHY C WONG, OD, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY WONG O.D. (OWNER)
(323) 464-3228
Entity
Organization
Contact information
Practice address
6430 W SUNSET BLVD, SUITE 703, LOS ANGELES, CA 90028-7901
(323) 464-3228
Mailing address
6430 W SUNSET BLVD, SUITE 703, LOS ANGELES, CA 90028-7901
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10748T
CA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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