Individual
ANDREW ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-0006
(310) 301-6800
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-5138
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A172470
CA
2085R0202X
Diagnostic Radiology Physician
D84949
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2016
Last updated
08/23/2021
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