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Organization
CONNIE WONG, DPM AND KI SANG YI, DPM INC
Active
Organization
CONNIE WONG, DPM AND KI SANG YI, DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIV BUNLEUTH (BILLING MANAGER)
(562) 234-3174
Entity
Organization
Contact information
Practice address
1703 TERMINO AVE, SUITE 103, LONG BEACH, CA 90804-2124
(562) 597-5100
(562) 597-5165
Mailing address
1703 TERMINO AVE, SUITE 103, LONG BEACH, CA 90804-2124
(562) 597-5100
(562) 597-5165
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/01/2011
Last updated
03/19/2020
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