Individual
DR. CARRIE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 PALM AVE, SAN DIEGO, CA 92154-8404
(917) 405-3432
Mailing address
4650 PALM AVE, SAN DIEGO, CA 92154-8404
(917) 405-3432
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A130415
CA
Other
Enumeration date
06/30/2008
Last updated
11/04/2021
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