Individual
ANGIE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8000 W SUNSET BLVD # B200-22, LOS ANGELES, CA 90046-2439
(909) 576-3888
Mailing address
11036 MOORPARK ST APT 422, STUDIO CITY, CA 91602-3445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
10/29/2023
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