Individual
DR. CAROLYN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3616 E 1ST ST, LOS ANGELES, CA 90063-2326
(323) 264-6157
Mailing address
PO BOX629, MONTEREY PARK, CA 91754-0629
(323) 264-6157
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
EL1632
CA
Other
Enumeration date
10/01/2007
Last updated
01/07/2009
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