Organization
I. LANE WONG, M.D. INC.
Active
Other names
Hope Fertility Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY J WONG (OFFICE MANAGER)
(949) 387-3888
Entity
Organization
Contact information
Practice address
2500 ALTON PKWY STE 201, IRVINE, CA 92606-5034
(949) 387-3888
(949) 387-3907
Mailing address
2500 ALTON PKWY STE 201, IRVINE, CA 92606-5034
(949) 387-3888
(949) 387-3907
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
G59317
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G59317
BLUE SHIELD ID
CA
01
—
G59317
MEDICAL LICENSE NUMBER
CA
01
—
INF1012
MONARCH HEALTHCARE ID
CA
Enumeration date
12/11/2006
Last updated
08/22/2020
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