Individual
DR. ANDREW KING-WAH WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3113 N SEPULVEDA BLVD STE A, MANHATTAN BEACH, CA 90266-2492
(310) 802-8016
(310) 802-8031
Mailing address
3113 N SEPULVEDA BLVD STE A, MANHATTAN BEACH, CA 90266-2492
(310) 802-8016
(310) 802-8031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A119262
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
A119262
CA
Other
Enumeration date
12/23/2011
Last updated
01/30/2021
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