Individual
ERNESTO G ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 S AZUSA AVE, HACIENDA HEIGHTS, CA 91745-6813
(626) 964-6012
(626) 964-3941
Mailing address
PO BOX 1277, WHITTIER, CA 90609-1277
(562) 906-6470
(562) 946-9465
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A52272
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A52272
LICENSE
CA
Enumeration date
10/20/2006
Last updated
03/13/2008
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