Individual
MS. CONNIE LAP MING WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1703 TERMINO AVE, SUITE #103, LONG BEACH, CA 90804-2124
(562) 597-5100
(562) 597-5165
Mailing address
1703 TERMINO AVE, SUITE #103, LONG BEACH, CA 90804-2124
(562) 597-5100
(562) 597-5165
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E44220
—
CA
01
—
E4422
PALMETTO GBA
CA
Enumeration date
08/11/2006
Last updated
03/07/2023
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