Individual
ANDREA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
14035 SADDLE RIDGE RD, SYLMAR, CA 91342-1057
(818) 390-7536
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14927
CA
Other
Enumeration date
06/04/2014
Last updated
12/01/2021
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