Individual
ALVIN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
901 CAMPUS DR STE 214, DALY CITY, CA 94015-4930
(650) 993-6300
Mailing address
1388 BROADWAY UNIT 181, MILLBRAE, CA 94030-1364
(347) 399-2621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA63837
CA
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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