Individual
MR. OI SHAN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
255 N WHITE RD STE 200B, SAN JOSE, CA 95127-1966
(408) 503-7600
(408) 503-7651
Mailing address
255 N WHITE RD STE 200B, SAN JOSE, CA 95127-1966
(408) 503-7600
(408) 503-7651
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
95001919
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95001919
CA
Other
Enumeration date
01/29/2015
Last updated
07/21/2022
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