Organization
CHARLES D WONG DO MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D WONG DO (PRESIDENT)
(661) 324-0300
Entity
Organization
Contact information
Practice address
9500 STOCKDALE HWY, SUITE 109, BAKERSFIELD, CA 93311-3620
(661) 663-6550
(661) 663-6259
Mailing address
PO BOX 2287, BAKERSFIELD, CA 93303-2287
(661) 324-0300
(661) 324-4095
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A8787
CA
Other
Enumeration date
09/12/2012
Last updated
12/19/2012
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