Individual
TIFFANY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(800) 382-8387
Mailing address
1220 S SIERRA VISTA AVE, ALHAMBRA, CA 91801-5103
(626) 497-3883
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A99479
CA
207W00000X
Ophthalmology Physician
MD25291
OR
Other
Enumeration date
05/13/2007
Last updated
07/08/2007
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