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Individual

DR. ANDREW L. WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-3933
(310) 423-0153
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2943
OR
103G00000X
Clinical Neuropsychologist
Primary
PSY30059
CA
103TC0700X
Clinical Psychologist
2943
OR
103TC0700X
Clinical Psychologist
30059
CA
103TC0700X
Clinical Psychologist
6301016179
MI

Other

Enumeration date
05/05/2010
Last updated
09/25/2023
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