Organization
JON WONG M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON WONG M.D. (PRESIDENT)
(310) 271-4407
Entity
Organization
Contact information
Practice address
1329 E THOUSAND OAKS BLVD, SUITE 128, THOUSAND OAKS, CA 91362-2824
(805) 494-8430
(805) 494-8385
Mailing address
8306 WILSHIRE BLVD, #501, BEVERLY HILLS, CA 90211-2382
(310) 271-4407
(909) 902-6621
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/02/2006
Last updated
02/27/2013
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