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Organization
TIFFANY WILSON, M.D. & KELLY WONG, M.D.
Active
Organization
TIFFANY WILSON, M.D. & KELLY WONG, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY WILSON M.D. (OWNER)
(949) 292-7075
Entity
Organization
Contact information
Practice address
33 CREEK RD BLDG A, SUITE 190, IRVINE, CA 92604-4791
(949) 262-7075
(714) 899-4275
Mailing address
33 CREEK RD BLDG A, SUITE 190, IRVINE, CA 92604-4791
(949) 262-7075
(714) 899-4275
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A70066
CA
Other
Enumeration date
04/03/2007
Last updated
09/11/2015
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