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Individual

DEREK KEVIN WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA UNIVERSITY HEALTH - PHYS MEDICINE & REHAB, LOMA LINDA, CA 92354-2804
(909) 558-6202
Mailing address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
188855
CA

Other

Enumeration date
04/01/2022
Last updated
05/28/2024
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