Individual
MR. SHI-YIN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 W COLLEGE STREET, LOS ANGELES, CA 90012
(213) 626-3589
(213) 626-7868
Mailing address
407 W COLLEGE STREET, LOS ANGELES, CA 90012
(213) 626-3589
(213) 626-7868
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G34772
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G347720
—
CA
Enumeration date
10/16/2006
Last updated
02/07/2013
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