Individual
EMILY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
20556
CA
363AS0400X
Surgical Physician Assistant
PA20556
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20556
CA LICENSE
CA
Enumeration date
11/04/2009
Last updated
05/06/2026
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