Individual
FREDERIC TAK-HWA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
25500 RANCHO NIGUEL RD, SUITE 160, LAGUNA NIGUEL, CA 92677-7302
(949) 701-7708
Mailing address
25500 RANCHO NIGUEL RD, SUITE 160, LAGUNA NIGUEL, CA 92677-7302
(949) 701-7708
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 10594
CA
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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