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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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