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Individual

DR. ALBERT WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
444 S SAN VICENTE BLVD STE 800, LOS ANGELES, CA 90048-4174
(310) 423-9780
Mailing address
444 S SAN VICENTE BLVD STE 800, LOS ANGELES, CA 90048-4174
(310) 423-9780

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
125052495
IL
207T00000X
Neurological Surgery Physician
Primary
A128308
CA
207T00000X
Neurological Surgery Physician
DR.0065158
CO

Other

Enumeration date
07/02/2009
Last updated
09/01/2022
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