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Organization
JAIR WONG, MD, INC
Active
Organization
JAIR WONG, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIR WONG MD (PRESIDENT)
(626) 962-9108
Entity
Organization
Contact information
Practice address
1535 W MERCED AVE, SUITE #102, WEST COVINA, CA 91790
(626) 962-9108
(626) 960-7337
Mailing address
1535 W MERCED AVE, SUITE #102, WEST COVINA, CA 91790
(626) 962-9108
(626) 960-7337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G75543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WG75543F
—
CA
Enumeration date
06/24/2006
Last updated
06/06/2012
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