Organization
FRANK FOOK Y. WONG, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK FOOK Y. WONG M.D. (PRESIDENT OF INC.)
(408) 258-6566
Entity
Organization
Contact information
Practice address
175 N JACKSON AVE, # 104, SAN JOSE, CA 95116-1909
(408) 258-6566
(408) 258-6660
Mailing address
175 N JACKSON AVE, # 104, SAN JOSE, CA 95116-1909
(408) 258-6566
(408) 258-6660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G66621
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G66621
CALIFORNIA M.D. LICENCE #
CA
01
—
ZZZ26797Z
MEDICARE GROUP
CA
Enumeration date
10/22/2007
Last updated
10/22/2007
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