Individual
KA YIU WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 OROVILLE, IRVINE, CA 92602-0923
(562) 324-8831
Mailing address
9 OROVILLE, IRVINE, CA 92602-0923
(562) 324-8831
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A22739
CA
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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