Individual
DAVID WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7330 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92111-1124
(858) 292-4498
Mailing address
11590 PETENWELL RD, SAN DIEGO, CA 92131-3648
(919) 619-8820
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT33633TLG
CA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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