Individual
LARRY F WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
2669 MYRTLE AVE STE 101, SIGNAL HILL, CA 90755-2746
(562) 595-6445
(562) 424-3122
Mailing address
2669 MYRTLE AVE STE 101, SIGNAL HILL, CA 90755-2746
(562) 595-6445
(562) 424-3122
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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