Individual
STEPHANIE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2051 MARENGO ST STE A7D, LOS ANGELES, CA 90033-1352
(310) 872-7262
Mailing address
2051 MARENGO ST STE A7D, LOS ANGELES, CA 90033-1352
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
PTL9463
CA
Other
Enumeration date
03/21/2022
Last updated
06/29/2024
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