Individual
DAPHNE L WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 532-8338
(714) 289-4010
Mailing address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 532-8338
(714) 289-4010
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A60029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A600290
MEDICAL PPIN #
CA
Enumeration date
08/10/2006
Last updated
07/08/2007
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