Organization
PIONEER MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G WONG M.D. (PRESIDENT)
(562) 229-9452
Entity
Organization
Contact information
Practice address
10251 ARTESIA BLVD, BELLFLOWER, CA 90706-6719
(562) 229-9452
(562) 920-4642
Mailing address
PO BOX 1682, BELLFLOWER, CA 90707-1682
(562) 229-9452
(562) 920-4642
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ3784
RAILROAD MEDICARE
CA
Enumeration date
02/15/2007
Last updated
11/01/2010
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