Individual
ADRIANNE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5215 TORRANCE BLVD STE 300, TORRANCE, CA 90503-4009
(424) 212-5361
(310) 316-3466
Mailing address
1 HOPE DR, TUSTIN, CA 92782-0221
(714) 247-0300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA58243
CA
Other
Enumeration date
10/26/2019
Last updated
01/25/2024
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