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Organization
CURTIS SF WONG, MD, INC
Active
Organization
CURTIS SF WONG, MD, INC
Active
Other names
Norcal Aesthetic Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURTIS SF WONG MD (PRESIDENT)
(530) 690-2424
Entity
Organization
Contact information
Practice address
2440 SISTER MARY COLUMBA DR, SUITE 200, RED BLUFF, CA 96080-4356
(530) 690-2424
(530) 690-2426
Mailing address
2440 SISTER MARY COLUMBA DR, SUITE 200, RED BLUFF, CA 96080-4356
(530) 690-2424
(530) 690-2426
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G74386
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G743860
MEDICARE ID - UNSPECIFIED
CA
05
—
00G743860
—
CA
Enumeration date
01/04/2011
Last updated
01/04/2011
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