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Individual

JOHN W.C. WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1613 CHELSEA RD # 803, SAN MARINO, CA 91108-2419
(626) 795-8082
(626) 795-8087
Mailing address
1613 CHELSEA RD # 803, SAN MARINO, CA 91108-2419
(626) 795-8082
(626) 795-8087

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CFE27640
CA

Other

Enumeration date
04/01/2013
Last updated
04/01/2013
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