Organization
DIANA Y WONG MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA WONG (PRESIDENT)
(818) 705-0923
Entity
Organization
Contact information
Practice address
18370 BURBANK BLVD, 311, TARZANA, CA 91356-2804
(818) 705-0923
Mailing address
18370 BURBANK BLVD, 311, TARZANA, CA 91356-2804
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G72281
CA
Other
Enumeration date
04/17/2007
Last updated
10/11/2007
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