Organization
HENRY Y T WONG, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY Y. T. WONG M. D. (PRESIDENT)
(209) 467-6335
Entity
Organization
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 467-6338
(209) 461-5150
Mailing address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 467-6338
(209) 461-5150
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A26199
CA
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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