Individual
CYNTHIA ANNE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4650 SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 669-2534
(323) 906-8003
Mailing address
6430 SUNSET BLVD, SUITE 600, LOS ANGELES, CA 90028-7900
(323) 669-2337
(323) 644-8488
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G51754
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G517540
—
CA
Enumeration date
10/03/2006
Last updated
07/08/2007
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