Organization
TRI VALLEY GASTROENTEROLOGY MEDICAL CENTER, INC.
Active
Organization
TRI VALLEY GASTROENTEROLOGY MEDICAL CENTER, INC.
Active
Other names
Tri Valley Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID T. WONG M.D. (PRESIDENT)
(925) 275-9966
Entity
Organization
Contact information
Practice address
5801 NORRIS CANYON RD, STE. 230, SAN RAMON, CA 94583
(925) 275-9966
(925) 275-9823
Mailing address
5801 NORRIS CANYON RD, STE. 230, SAN RAMON, CA 94583
(925) 275-9966
(925) 275-9823
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ57371Z
BC/BS
CA
Enumeration date
08/10/2006
Last updated
08/03/2022
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