Individual
DR. CHRISTOPHER MICHAEL WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8622 GARVEY AVE, SUITE 103, ROSEMEAD, CA 91770
(626) 280-6898
(626) 280-6899
Mailing address
315 W WISTARIA AVE, ARCADIA, CA 91007
(626) 447-0721
(626) 447-0721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A63500
CA
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
A63500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A635000
—
CA
Enumeration date
08/15/2005
Last updated
12/11/2009
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