Individual
ELIZABETH WONG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C R N A
Contact information
Practice address
435 N ROXBURY DR, 104, BEVERLY HILLS, CA 90210
(310) 278-1839
(310) 278-4320
Mailing address
2603 KIRSTEN LEE DRIVE, WEST LAKE VILLAGE, CA 91361
(818) 707-1623
(818) 707-1623
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA2435
CA
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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