# JESSICA J WONG, MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Descanso Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356893309
- **Authorized official:** DR. JESSICA J WONG MD (SOLE OWNER/PRESIDENT)
- **Authorized official phone:** (818) 928-1045

## Contact information

- **Practice address:** 1808 VERDUGO BLVD, SUITE 418, GLENDALE, CA 91208-1477
- **Practice address phone:** (818) 928-1045
- **Mailing address:** 1808 VERDUGO BLVD, SUITE 418, GLENDALE, CA 91208-1477
- **Mailing address phone:** (818) 928-1045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A120973 | CA | Yes |

## Other

- **Enumeration date:** 10/25/2016
- **Last updated:** 02/08/2017