Individual
EMILY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
640 N BROADWAY STE 3, LOS ANGELES, CA 90012-2815
(213) 617-3333
(213) 617-3318
Mailing address
640 N BROADWAY STE 3, LOS ANGELES, CA 90012-2815
(213) 617-3333
(213) 617-3318
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY22892
CA
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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