# CURTIS SF WONG, MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Norcal Aesthetic Plastic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144524232
- **Authorized official:** DR. CURTIS SF WONG MD (PRESIDENT)
- **Authorized official phone:** (530) 690-2424

## Contact information

- **Practice address:** 2440 SISTER MARY COLUMBA DR, SUITE 200, RED BLUFF, CA 96080-4356
- **Practice address phone:** (530) 690-2424
- **Practice address fax:** (530) 690-2426
- **Mailing address:** 2440 SISTER MARY COLUMBA DR, SUITE 200, RED BLUFF, CA 96080-4356
- **Mailing address phone:** (530) 690-2424
- **Mailing address fax:** (530) 690-2426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G74386 | CA | Yes |

## Other

- **Enumeration date:** 01/04/2011
- **Last updated:** 01/04/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00G743860 | MEDICARE ID - UNSPECIFIED | CA |
| 05 | — | 00G743860 | — | CA |