Organization
MICHAEL C WONG MD MEDICAL CORP
Active
Other names
California Womens Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHI WAI WONG MD (PRESIDENT)
(858) 268-0300
Entity
Organization
Contact information
Practice address
4282 GENESEE AVE, SUITE 201, SAN DIEGO, CA 92117-4964
(858) 268-0300
(858) 268-3894
Mailing address
4282 GENESEE AVE, SUITE 201, SAN DIEGO, CA 92117-4964
(858) 268-0300
(858) 268-3894
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G34771
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104271
—
CA
05
—
GR0104272
—
CA
05
—
GR0104370
—
CA
Enumeration date
05/02/2007
Last updated
11/05/2007
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