Individual
CLYDE YUEN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 W MARCH LN STE A, STOCKTON, CA 95207-5724
(209) 477-5552
(209) 477-5553
Mailing address
77 W MARCH LN STE A, STOCKTON, CA 95207-5724
(209) 477-5552
(209) 477-5553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G53166
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G531660
—
CA
01
—
P00379497
MEDICARE RR
—
Enumeration date
07/07/2006
Last updated
03/16/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us