Individual
MR. KAMEHAMEHA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E DUARTE RD, DUARTE, CA 91010
(626) 359-8111
Mailing address
PO BOX 5063, MONROVIA, CA 91017-7163
(626) 775-3200
(626) 775-3271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G73883
CA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
G73883
CA
207RX0202X
Medical Oncology Physician
G73883
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G738830
—
CA
Enumeration date
08/25/2006
Last updated
03/07/2013
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