Organization
DAVID Y WONG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID Y WONG M.D. (OWNER)
(310) 326-8625
Entity
Organization
Contact information
Practice address
3220 SEPULVEDA BLVD, SUITE 103, TORRANCE, CA 90505-8160
(310) 326-8625
(310) 326-1735
Mailing address
3220 SEPULVEDA BLVD, SUITE 103, TORRANCE, CA 90505-2744
(310) 326-8625
(310) 326-1735
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G27287
CA
Other
Enumeration date
08/05/2010
Last updated
08/09/2010
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