Organization
KONG D WONG MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM K WONG M.D. (PRESIDENT)
(760) 245-6691
Entity
Organization
Contact information
Practice address
15203 11TH ST, SUITE B, VICTORVILLE, CA 92395-3737
(760) 245-6691
(760) 245-2671
Mailing address
15203 11TH ST, SUITE B, VICTORVILLE, CA 92395-3737
(760) 245-6691
(760) 245-2671
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A31644
CA
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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