Organization
KIN C WONG MD A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIN C WONG MD (PHYSICIAN)
(818) 247-6676
Entity
Organization
Contact information
Practice address
435 ARDEN AVE, STE 310, GLENDALE, CA 91203-1130
(818) 247-6676
(818) 247-6076
Mailing address
435 ARDEN AVE STE 310, GLENDALE, CA 91203-4014
(818) 247-6676
(818) 247-6076
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A33946
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A339960
—
CA
Enumeration date
11/10/2005
Last updated
07/13/2017
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