Individual
JOEY TIMOTHY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2592 N. SANTIAGO BLVD, ORANGE, CA 92867-1862
(885) 434-7763
(949) 281-5550
Mailing address
2592 N. SANTIAGO BLVD, ORANGE, CA 92867-1862
(885) 434-7763
(949) 281-5550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A16167
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
16167
CA
Other
Enumeration date
06/30/2016
Last updated
11/21/2023
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