Individual
PIERRE CHUNG WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2461
(323) 361-1513
Mailing address
6430 W SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7901
(323) 361-2337
(323) 361-8491
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
G55315
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G553150
—
CA
Enumeration date
09/20/2006
Last updated
06/25/2010
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