Individual
EMILY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
54701 FILE NUMBER, LOS ANGELES, CA 90074-4701
(909) 651-4300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
48922
AZ
208000000X
Pediatrics Physician
Primary
A134678
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900852
—
AZ
Enumeration date
05/03/2011
Last updated
05/26/2023
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