Individual
IAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11943 EL CAMINO REAL STE 210, SAN DIEGO, CA 92130-2597
(858) 793-1011
(858) 793-1035
Mailing address
11943 EL CAMINO REAL STE 210, SAN DIEGO, CA 92130-2597
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A22519
CA
Other
Enumeration date
04/02/2020
Last updated
09/27/2024
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