Individual
DIANA WING-YI WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, CCRN, CSC
Contact information
Practice address
1990 FRUITDALE AVE, SAN JOSE, CA 95128-2795
(408) 998-8447
Mailing address
1675 EBBETTS DR, CAMPBELL, CA 95008-5111
(909) 509-6011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95027538
CA
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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