Individual
ALICE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1450 10TH ST STE 404, SANTA MONICA, CA 90401-2831
(424) 284-2440
Mailing address
1450 10TH ST STE 404, SANTA MONICA, CA 90401-2831
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18871
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2017
Last updated
04/06/2022
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