Individual
CARRIE RUBY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 205, LOS ANGELES, CA 90024-6999
(310) 208-5400
(310) 208-3788
Mailing address
5767 W CENTURY BLVD SUITE 400, LOS ANGELES, CA 90095-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A150513
CA
Other
Enumeration date
04/01/2014
Last updated
05/13/2022
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