Individual
DR. ADAM KEN YIP WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9920 TALBERT AVE, FOUNTAIN VALLEY, CA 92708-5153
(714) 378-7000
(714) 647-1245
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1010
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A95311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265587000
—
FL
Enumeration date
12/05/2006
Last updated
08/17/2015
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