Organization
SOLO INTERNAL MEDICINE
Active
Other names
Solo Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNSON KAR TSUN WONG M.D. (PHYSICIAN)
(209) 768-1217
Entity
Organization
Contact information
Practice address
14568A MONO WAY, SONORA, CA 95370-8858
(209) 768-1217
(209) 533-2061
Mailing address
14568A MONO WAY, SONORA, CA 95370-8858
(209) 768-1217
(209) 533-2061
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G079608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G796080
—
CA
Enumeration date
06/19/2007
Last updated
10/01/2008
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