# ANDREW K. WONG, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669144465
- **Authorized official:** DR. ANDREW K WONG M.D. (PRESIDENT)
- **Authorized official phone:** (310) 802-8016

## Contact information

- **Practice address:** 3113 N SEPULVEDA BLVD STE A, MANHATTAN BEACH, CA 90266-2492
- **Practice address phone:** (310) 802-8016
- **Practice address fax:** (310) 802-8031
- **Mailing address:** 3113 N SEPULVEDA BLVD STE A, MANHATTAN BEACH, CA 90266-2492
- **Mailing address phone:** (310) 802-8016
- **Mailing address fax:** (310) 802-8031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2021
- **Last updated:** 09/30/2021