Individual
LINA LY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3006 SAN GABRIEL BLVD, ROSEMEAD, CA 91770-2536
(626) 773-8900
Mailing address
3006 SAN GABRIEL BLVD, ROSEMEAD, CA 91770-2536
(626) 773-8900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12219
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2008
Last updated
01/08/2015
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