Individual
ANGEL WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 1ST ST STE A, SAN FRANCISCO, CA 94105-2661
(888) 803-3370
Mailing address
1010 16TH ST APT 313, SAN FRANCISCO, CA 94107-3727
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA63934
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/02/2022
Last updated
05/20/2024
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