Individual
MICHAEL LAP WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 UCLA MEDICAL PLZ, SUITE B265, LOS ANGELES, CA 90095-8344
(310) 825-6774
Mailing address
200 UCLA MEDICAL PLZ, SUITE B265, LOS ANGELES, CA 90095-8344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT196247
PA
2085R0001X
Radiation Oncology Physician
Primary
A131114
CA
Other
Enumeration date
10/05/2009
Last updated
02/11/2022
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