Individual
DR. VIVIEN C WONG
Active
Individual
DR. VIVIEN C WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD12827
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000246355
HMSA
HI
01
—
1658244
UHA
HI
05
—
55076601
—
HI
01
—
B006
TRICARE
HI
01
—
MD12827
QHC
HI
Enumeration date
03/21/2006
Last updated
10/06/2011
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