Individual
MRS. CASSANDRA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
12746 W JEFFERSON BLVD, PLAYA VISTA, CA 90094
(310) 248-4863
Mailing address
12746 W JEFFERSON BLVD STE 300, PLAYA VISTA, CA 90094-2885
(424) 315-2240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
764866
CA
Other
Enumeration date
08/26/2015
Last updated
06/28/2023
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