Individual
BUU KIM WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
500 E CARSON ST, STE 112, CARSON, CA 90745-2713
(310) 518-3972
(310) 518-3998
Mailing address
500 E CARSON ST, STE 112, CARSON, CA 90745-2713
(310) 518-3972
(310) 518-3998
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2351
CA
Other
Enumeration date
02/16/2007
Last updated
01/23/2008
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