Individual
VALERIE SAMANTHA K WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 365A, LOS ANGELES, CA 90095-0001
(310) 206-8272
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A144957
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A144957
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A144957
STATE LICENSE
CA
Enumeration date
03/30/2015
Last updated
01/03/2025
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