Organization
ACTIVA MEDICAL CENTER, INC.
Active
Other names
Constance Noel, D.O., Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY K WONG D.C. (PRESIDENT)
(650) 400-9887
Entity
Organization
Contact information
Practice address
1479 YGNACIO VALLEY RD STE 207, WALNUT CREEK, CA 94598-2945
(925) 946-1098
Mailing address
3130 ALPINE RD STE 288-211, PORTOLA VALLEY, CA 94028-7549
(650) 400-9887
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A6227
CA
Other
Enumeration date
07/12/2007
Last updated
11/01/2007
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