Organization
JOANNA M. WONG, M.D. A MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA M WONG MD (PRESIDENT)
(310) 939-7850
Entity
Organization
Contact information
Practice address
855 MANHATTAN BEACH BLVD, SUITE 103, MANHATTAN BEACH, CA 90266-4965
(310) 939-7850
(310) 939-7851
Mailing address
855 MANHATTAN BEACH BLVD, SUITE 103, MANHATTAN BEACH, CA 90266-4965
(310) 939-7850
(310) 939-7851
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G46405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G46405
MEDICAL LICENSE
CA
Enumeration date
06/18/2006
Last updated
08/22/2020
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