Individual
MICHAEL ALAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24953 PASEO DE VALENCIA, SUITE 12B, LAGUNA HILLS, CA 92653
(949) 588-7110
(949) 588-6985
Mailing address
24953 PASEO DE VALENCIA, SUITE 12B, LAGUNA HILLS, CA 92653
(949) 588-7110
(949) 588-6985
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G062105
CA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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