Individual
JEFFREY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18785 BROOKHURST ST STE 100, FOUNTAIN VALLEY, CA 92708-7300
(714) 500-5056
(949) 540-7148
Mailing address
24331 EL TORO RD, STE 200, LAGUNA WOODS, CA 92637-3116
(949) 586-3200
(949) 900-2136
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A114599
CA
Other
Enumeration date
12/13/2011
Last updated
04/22/2019
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