# TIT SANG LI MD & NGA WAN WONG MD INC

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

## Provider details

- **NPI number:** 1124119979
- **Authorized official:** NGA WAN WONG MD (VICE PRESIDENT)
- **Authorized official phone:** (714) 898-9635

## Contact information

- **Practice address:** 6552 BOLSA AVE, SUITE N, HUNTINGTON BEACH, CA 92647
- **Practice address phone:** (714) 898-9635
- **Practice address fax:** (714) 898-9637
- **Mailing address:** 6181 GLENEAGLES CIR, HUNTINGTON BEACH, CA 92648-5561
- **Mailing address phone:** (714) 898-9635
- **Mailing address fax:** (714) 898-9637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | A26311 | CA | — |
| 208D00000X | General Practice Physician | A25684 | CA | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QA0005X | Ambulatory Family Planning Facility | A26311 | CA | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 12/03/2008