Individual
CATHERINE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-NP
Contact information
Practice address
17134 COLIMA RD STE E, HACIENDA HEIGHTS, CA 91745-6737
(626) 820-0603
(626) 820-0602
Mailing address
17134 COLIMA RD STE E, HACIENDA HEIGHTS, CA 91745-6737
(626) 820-0603
(626) 820-0602
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN507738
CA
363L00000X
Nurse Practitioner
Primary
NP11905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN507738
—
CA
Enumeration date
03/13/2007
Last updated
01/25/2018
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