Individual
JON WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8306 WILSHIRE BLVD, #501, BEVERLY HILLS, CA 90211-2382
(310) 271-4407
(323) 936-6927
Mailing address
8306 WILSHIRE BLVD, # 59, BEVERLY HILLS, CA 90211-2304
(310) 271-4407
(323) 936-6927
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A23011
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A230110
—
CA
01
—
757263071
RAILROAD MEDICARE
CA
Enumeration date
06/12/2006
Last updated
06/03/2016
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