Organization
TIT SANG LI MD & NGA WAN WONG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NGA WAN WONG MD (VICE PRESIDENT)
(714) 898-9635
Entity
Organization
Contact information
Practice address
6552 BOLSA AVE, SUITE N, HUNTINGTON BEACH, CA 92647
(714) 898-9635
(714) 898-9637
Mailing address
6181 GLENEAGLES CIR, HUNTINGTON BEACH, CA 92648-5561
(714) 898-9635
(714) 898-9637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A26311
CA
208D00000X
General Practice Physician
A25684
CA
208D00000X
General Practice Physician
—
—
261QA0005X
Ambulatory Family Planning Facility
Primary
A26311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0002450
—
CA
05
—
GR0002451
—
CA
Enumeration date
09/27/2006
Last updated
12/03/2008
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