Individual
IRENE PUI LAI WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3020 CHILDRENS WAY # MC5124, SAN DIEGO, CA 92123-4223
(858) 966-6764
(858) 966-7966
Mailing address
3020 CHILDRENS WAY # MC5124, SAN DIEGO, CA 92123-4223
(858) 966-6764
(858) 966-7966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A114117
CA
Other
Enumeration date
10/15/2011
Last updated
12/15/2021
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