Individual
IRENE TANG WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4733 W SUNSET BLVD, LOS ANGELES, CA 90027-6021
(323) 783-4011
Mailing address
4733 W SUNSET BLVD, LOS ANGELES, CA 90027-6021
(323) 783-4011
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT10738T
CA
Other
Enumeration date
11/29/2006
Last updated
12/01/2021
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