Individual
GREG WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 S FIGUEROA ST, LOS ANGELES, CA 90037-1206
(323) 233-0425
(323) 232-2366
Mailing address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 233-0425
(323) 232-2366
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
02/26/2016
Last updated
08/23/2016
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