Individual
ANDREW K WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2125 ARIZONA AVE, SANTA MONICA, CA 90404-1337
(310) 582-7640
Mailing address
2125 ARIZONA AVE, SANTA MONICA, CA 90404-1337
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A194635
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
06/28/2024
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