Individual
KEVIN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
415 S PALM CANYON DR STE 200, PALM SPRINGS, CA 92262-7303
(760) 568-2684
(760) 341-5832
Mailing address
PO BOX 1730, RANCHO MIRAGE, CA 92270-1058
(760) 568-2684
(760) 341-5832
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
20A16184
CA
Other
Enumeration date
03/21/2013
Last updated
02/20/2024
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