Individual
LEE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
909 S FAIR OAKS AVE, PASADENA, CA 91105-2625
(626) 389-9411
(626) 389-9342
Mailing address
909 S FAIR OAKS AVE, PASADENA, CA 91105-2625
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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