Organization
JAMES W. WONG, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W WONG MD (OWNER)
(626) 641-3891
Entity
Organization
Contact information
Practice address
500 N GARFIELD AVE STE 204, MONTEREY PARK, CA 91754-1242
(626) 280-4393
(626) 280-5379
Mailing address
1455 RUTHERFORD DR, PASADENA, CA 91103-2776
(626) 641-3891
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A22857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A228570
—
CA
Enumeration date
07/24/2007
Last updated
07/24/2007
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