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Individual

HENRY KEUNG WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(858) 249-6748

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35.093755
OH
207N00000X
Dermatology Physician
Primary
G192557
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2956029
OH
Enumeration date
11/02/2006
Last updated
04/15/2024
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