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Individual
DR. JOHNSON KAR TSUN WONG
Active
Individual
DR. JOHNSON KAR TSUN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G79608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G796080
—
CA
01
—
72-1325399
PROVIDER TAX ID#
CA
01
—
ZZZ04982Z
GROUP ID#
—
Enumeration date
09/23/2005
Last updated
10/01/2008
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