Organization
EDWARD T. WONG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY LUNA M.A. (OFFICE MANAGER)
(760) 523-0944
Entity
Organization
Contact information
Practice address
1523 W AVENUE J STE 2, LANCASTER, CA 93534-2819
(661) 945-1874
(661) 522-7740
Mailing address
2010 W AVENUE K # 226, LANCASTER, CA 93536-5229
(661) 945-1874
(661) 522-7740
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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