Individual
DR. ERIC J WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29472 AVENIDA DE LAS BANDERA, RANCHO SANTA MARGARITA, CA 92688-2651
(949) 459-9968
(949) 766-2565
Mailing address
29472 AVENIDA DE LAS BANDERA, RANCHO SANTA MARGARITA, CA 92688-2651
(949) 459-9968
(949) 766-2565
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G75361
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G753610
—
CA
Enumeration date
11/16/2005
Last updated
11/14/2023
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