Individual
DR. ALAN K WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S BUENA VISTA ST, BURBANK, CA 91505-4809
(818) 847-3935
(818) 843-8111
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A95604
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A956040
BLUE SHIELD
CA
Enumeration date
05/29/2008
Last updated
08/28/2015
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