Individual
JUSTIN WAYNE WONG TIULIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-1000
Mailing address
3285 SKYPARK DR, TORRANCE, CA 90505-5004
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A157628
CA
Other
Enumeration date
03/17/2017
Last updated
04/25/2023
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