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Individual

LEWIS WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1294 W 6TH STREET, #205, SAN PEDRO, CA 90732
(310) 514-8188
(310) 514-0237
Mailing address
1294 W 6TH STREET, #205, SAN PEDRO, CA 90732
(310) 514-8188
(310) 514-0237

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G46233
CA

Other

Enumeration date
05/31/2007
Last updated
07/08/2007
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