Organization
SHI YIN WONG MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHI YIN WONG M.D (OWNER)
(213) 626-3589
Entity
Organization
Contact information
Practice address
407 W COLLEGE ST, LOS ANGELES, CA 90012-2313
(213) 626-3589
(213) 626-7868
Mailing address
407 W COLLEGE ST, LOS ANGELES, CA 90012-2313
(213) 626-3589
(213) 626-7868
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G34772
CA
Other
Enumeration date
01/17/2007
Last updated
11/16/2010
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