Individual
JADE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT, CLT
Contact information
Practice address
2703 ROCKEFELLER LN APT 2, REDONDO BEACH, CA 90278-4299
(808) 285-5090
Mailing address
2703 ROCKEFELLER LN APT 2, REDONDO BEACH, CA 90278-4299
(808) 285-5090
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
14398
CA
Other
Enumeration date
08/13/2018
Last updated
05/16/2024
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