Individual
DR. RICHARD MAN-KIM WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9930 TALBERT AVE, FOUNTAIN VALLEY, CA 92708-5153
(714) 964-6229
Mailing address
2565 THOMPSON AVE, TUSTIN, CA 92782-3309
(714) 838-4406
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G52170
CA
Other
Enumeration date
02/20/2007
Last updated
07/12/2013
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