Organization
UCLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE S. WONG PT, MPT (PHYSICAL THERAPIST)
(310) 794-4923
Entity
Organization
Contact information
Practice address
221 WESTWOOD PLZ FL 4, LOS ANGELES, CA 90095-0001
(310) 794-4923
Mailing address
1000 VETERAN AVE STE A-744, LOS ANGELES, CA 90024-2704
(310) 825-6376
(310) 794-1457
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
27548
CA
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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