Individual
MR. HARLAND WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPAC
Contact information
Practice address
455 OCONNOR DR, SUITE 310 B, SAN JOSE, CA 95128-1633
(408) 297-2833
(408) 271-4908
Mailing address
455 OCONNOR DR, SUITE 310 B, SAN JOSE, CA 95128-1633
(408) 297-2833
(408) 271-4908
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
199
IL
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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