Individual
GREGORY KELII WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-4099
(714) 509-3301
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-4099
(714) 509-3301
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
A124939
CA
2080P0206X
Pediatric Gastroenterology Physician
N7765
TX
Other
Enumeration date
09/09/2009
Last updated
02/24/2021
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