# TIMOTHY C WONG, OD, APC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073772240
- **Authorized official:** DR. TIMOTHY WONG O.D. (OWNER)
- **Authorized official phone:** (323) 464-3228

## Contact information

- **Practice address:** 6430 W SUNSET BLVD, SUITE 703, LOS ANGELES, CA 90028-7901
- **Practice address phone:** (323) 464-3228
- **Mailing address:** 6430 W SUNSET BLVD, SUITE 703, LOS ANGELES, CA 90028-7901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 10748T | CA | Yes |

## Other

- **Enumeration date:** 06/03/2008
- **Last updated:** 06/03/2008
