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Organization
JENNIFER L WONG M D INC
Active
Organization
JENNIFER L WONG M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNN WONG M.D. (CEO)
(714) 633-3145
Entity
Organization
Contact information
Practice address
1310 W STEWART DR, SUITE 603, ORANGE, CA 92868-3854
(714) 633-3145
(714) 633-0145
Mailing address
1310 W STEWART DR, SUITE 603, ORANGE, CA 92868-3854
(714) 633-3145
(714) 633-0145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G063866
CA
Other
Enumeration date
09/30/2010
Last updated
12/17/2010
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