Individual
DUSTIN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17234 VALLEY BLVD, BUILDING A, FONTANA, CA 92335
(909) 427-5679
Mailing address
17234 VALLEY BLVD, BUILDING A, FONTANA, CA 92335
(909) 427-5679
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20A22709
CA
2084P0800X
Psychiatry Physician
OT020545
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20A22709
CA
Other
Enumeration date
04/22/2021
Last updated
10/14/2025
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