Individual
DR. ANGELICA PAMELA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
151 S MEDNIK AVE, LOS ANGELES, CA 90022-1606
(323) 263-3303
(323) 263-3341
Mailing address
7811 BAYSINGER ST, DOWNEY, CA 90241-2224
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
54667
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54667
DELTA DENTAL
CA
Enumeration date
01/22/2007
Last updated
07/08/2007
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