Individual
DARRELL L WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
117 E LIVE OAK AVE, SUITE 101, ARCADIA, CA 91006-5269
(626) 446-8492
Mailing address
763 LA PORTADA ST, S PASADENA, CA 91030-3626
(323) 255-7369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A041390
CA
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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