Individual
DR. PHILIP WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
437 N HOOVER ST, LOS ANGELES, CA 90004-2306
(323) 309-8707
Mailing address
PO BOX 123, GLENDALE, CA 91209-0123
(323) 309-8707
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
12/12/2013
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