Individual
DR. GORDON K WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D., M.P.H.
Contact information
Practice address
409 W MAIN ST, ALHAMBRA, CA 91801-3433
(626) 382-1263
(626) 382-1252
Mailing address
409 W MAIN ST, ALHAMBRA, CA 91801-3433
(626) 382-1263
(626) 382-1252
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A71751
CA
208D00000X
General Practice Physician
A71751
CA
Other
Enumeration date
05/05/2008
Last updated
03/25/2010
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