Organization
ERVIN WONG MD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERVIN WONG (CEO)
(415) 837-0861
Entity
Organization
Contact information
Practice address
728 PACIFIC AVE STE 506, SAN FRANCISCO, CA 94133-4449
(415) 837-0861
Mailing address
728 PACIFIC AVE STE 506, SAN FRANCISCO, CA 94133-4449
(415) 837-0861
(415) 986-1932
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A811700
—
CA
Enumeration date
04/07/2020
Last updated
12/23/2020
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