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Individual

DR. DEWEY T WONG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
13652 CANTARA ST, KAISER PERMANENTE, PANORAMA CITY, CA 91402-5423
(818) 375-2683
Mailing address
19038 BRASILIA DR, NORTHRIDGE, CA 91326-1520
(818) 368-9367

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH 30700
CA
1835P1300X
Psychiatric Pharmacist
RPH 30700
CA

Other

Enumeration date
09/30/2005
Last updated
09/11/2025
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