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Individual

STEVEN GENE WEI WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2811 WILSHIRE BLVD STE 414, SANTA MONICA, CA 90403-4804
(310) 552-9999
(310) 201-6685
Mailing address
10921 WILSHIRE BLVD, SUITE 505, LOS ANGELES, CA 90024-4001
(310) 824-4133
(310) 208-1584

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
210540
AK
207RH0003X
Hematology & Oncology Physician
Primary
G79910
CA
207RH0003X
Hematology & Oncology Physician
MD23655
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G799100
CA
01
210540
LICENSE
AK
Enumeration date
07/20/2006
Last updated
11/27/2024
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