Individual
MELISSA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8851 CENTER DR STE 501, LA MESA, CA 91942-3033
(619) 697-2456
(858) 429-7930
Mailing address
PO BOX 845996, LOS ANGELES, CA 90084-5996
(858) 888-7700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A195509
CA
208800000X
Urology Physician
Primary
A195509
CA
Other
Enumeration date
03/18/2019
Last updated
09/12/2024
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