Organization
SUNSET PSYCHIATRIC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE WONG PSY.D (CLINICAL PSYCHOLOGIST)
(626) 813-1222
Entity
Organization
Contact information
Practice address
933 S SUNSET AVE, SUITE 105, WEST COVINA, CA 91790-3410
(626) 813-1222
(626) 813-1221
Mailing address
933 S SUNSET AVE, SUITE 105, WEST COVINA, CA 91790-3410
(626) 813-1222
(626) 813-1221
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
PSY21007
CA
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
PSY21007
CA
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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