Individual
DR. ALAN KONG WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 MARGARET LN, GRASS VALLEY, CA 95945-5211
(530) 274-9623
(530) 274-0590
Mailing address
107 MARGARET LN, GRASS VALLEY, CA 95945-5211
(530) 274-9623
(530) 274-0590
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A50541
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A505411
—
CA
Enumeration date
05/30/2006
Last updated
12/03/2021
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