Individual
DR. GORDON ALVIN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3941 J ST, SUITE 354, SACRAMENTO, CA 95819-3624
(916) 733-6870
(916) 454-0490
Mailing address
3941 J ST, SUITE 354, SACRAMENTO, CA 95819-3624
(916) 733-6870
(916) 454-0490
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A22027
CA
Other
Enumeration date
10/26/2006
Last updated
01/26/2017
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