Individual
DR. JASON Y WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, APH
Contact information
Practice address
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661-3037
(916) 781-1414
Mailing address
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661-3037
(916) 781-1414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
058795
NY
1835C0206X
Cardiology Pharmacist
Primary
10186
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
70858
CA
1835P1200X
Pharmacotherapy Pharmacist
70858
CA
1835P1300X
Psychiatric Pharmacist
10186
CA
1835P1300X
Psychiatric Pharmacist
70858
CA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
10186
CA
Other
Enumeration date
03/10/2014
Last updated
03/09/2026
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