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Individual

PECK YEOW ONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4650 SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 669-2501
(323) 669-4627
Mailing address
6430 SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7900
(323) 669-2337
(323) 644-8488

Taxonomy

Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
A64334
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A643340
CA
Enumeration date
09/20/2006
Last updated
07/08/2007
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