Organization
DIRECT DERMATOLOGY PROFESSIONALS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WONG MD (PRESIDENT)
(855) 944-7546
Entity
Organization
Contact information
Practice address
165 SAINT DOMINICS DR STE 120, MANTECA, CA 95337-7802
(510) 241-2884
(800) 572-0683
Mailing address
228 HAMILTON AVE FL 3, PALO ALTO, CA 94301-2583
(510) 241-2884
(800) 572-0683
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
11/06/2024
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