Individual
BILL NAM WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5575 W LAS POSITAS BLVD STE 130, PLEASANTON, CA 94588-5800
(925) 463-0590
(925) 847-9532
Mailing address
5575 W LAS POSITAS BLVD STE 130, PLEASANTON, CA 94588-5800
(925) 463-0590
(925) 847-9532
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G48992
CA
207RP1001X
Pulmonary Disease Physician
Primary
G48992
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G489920
—
CA
Enumeration date
07/29/2005
Last updated
04/29/2024
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