Individual
STEPHEN KENNETH WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5771 GREENBACK LN, SACRAMENTO, CA 95841-2013
(916) 761-8635
Mailing address
3 PARK CENTER DR STE 210, SACRAMENTO, CA 95825-8341
(916) 761-8635
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A40039
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A400390
—
CA
Enumeration date
10/24/2006
Last updated
04/30/2024
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