Individual
DR. ANDREW BURTON WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1026 W WEST COVINA PKWY STE B, WEST COVINA, CA 91790-8212
(626) 962-5868
(626) 856-0570
Mailing address
1026 W WEST COVINA PKWY STE B, WEST COVINA, CA 91790-8212
(626) 962-5868
(626) 856-0570
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13133
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0131330
—
CA
Enumeration date
10/03/2007
Last updated
04/29/2008
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