Individual
ASHLEY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
18035 BROOKHURST ST STE 1200, FOUNTAIN VALLEY, CA 92708-6738
(714) 963-7240
Mailing address
16787 BEACH BLVD STE 276, HUNTINGTON BEACH, CA 92647-4848
(714) 963-7240
(714) 963-7224
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A18424
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2015
Last updated
01/19/2021
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