Individual
CAROLINE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3838 SAN DIMAS ST, SUITE A100, BAKERSFIELD, CA 93301-2284
(661) 869-2600
(661) 869-2003
Mailing address
PO BOX 11959, BAKERSFIELD, CA 93389-3959
(661) 869-2600
(661) 869-2003
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G75701
CA
208M00000X
Hospitalist Physician
G757011
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G757010
—
CA
05
—
00G757011
—
CA
01
—
P00379026
MEDICARE RAILROAD
—
Enumeration date
09/01/2006
Last updated
11/15/2007
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