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Organization
KELLY KRISTIN WONG, MD, INC
Active
Organization
KELLY KRISTIN WONG, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KRISTIN WONG M.D. (M.D.)
(949) 559-4480
Entity
Organization
Contact information
Practice address
4950 BARRANCA PKWY STE 201, IRVINE, CA 92604-4687
(949) 559-4480
(949) 262-7072
Mailing address
4950 BARRANCA PKWY STE 201, IRVINE, CA 92604-4687
(949) 559-4480
(949) 262-7072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A82648
CA
Other
Enumeration date
11/04/2006
Last updated
07/22/2016
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