Individual
KENNETH H WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11370 ANDERSON ST, STE 3900, LOMA LINDA, CA 92354-3450
(909) 558-2806
Mailing address
54701 FILE NUMBER, LOS ANGELES, CA 90074-4701
(909) 558-3111
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
G87370
CA
Other
Enumeration date
07/24/2006
Last updated
12/03/2021
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