Individual
DR. KENJI WONG MORIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, UCLA HOPSITAL, LOS ANGELES, CA 90095-3075
(310) 794-7304
Mailing address
1220 STRATFORD AVE, SOUTH PASADENA, CA 91030-3941
(310) 913-2910
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A96025
CA
Other
Enumeration date
05/11/2007
Last updated
10/18/2021
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