Individual
DARYL WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13651 WILLARD STREET, PANORAMA CITY, CA 91402
(818) 375-2000
Mailing address
13651 WILLARD STREET, PANORAMA CITY, CA 91402
(818) 375-2000
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
20A8805
CA
Other
Enumeration date
10/24/2005
Last updated
12/01/2021
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