Individual
MISS IRENE SHUK WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4855 ATHERTON AVE, SAN JOSE, CA 95130
(888) 357-3058
Mailing address
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703-9329
(562) 622-2800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12816
CA
Other
Enumeration date
11/20/2006
Last updated
08/30/2019
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