Individual
ALVIN WEN VONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2497 HERNDON AVE STE 102, CLOVIS, CA 93611-8977
(559) 450-8886
Mailing address
2497 HERNDON AVE STE 102, CLOVIS, CA 93611-8977
(559) 450-8886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A180720
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
07/26/2022
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