Individual
GORDON G WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7841 FAY AVE, LA JOLLA, CA 92037-4251
(858) 454-4699
(858) 454-3797
Mailing address
7841 FAY AVE, LA JOLLA, CA 92037-4251
(858) 454-4699
(858) 454-3797
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
9832T
CA
Other
Enumeration date
11/01/2006
Last updated
12/16/2025
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