Organization
PIONERR MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G WONG M.D. (PRESIDENT)
(562) 229-9452
Entity
Organization
Contact information
Practice address
16510 BLOOMFIELD AVE, CERRITOS, CA 90703-2115
(562) 229-0902
(562) 229-0952
Mailing address
PO BOX 1682, BELLFLOWER, CA 90707-1682
(562) 229-9452
(562) 920-4642
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090424
—
CA
01
—
ZZZ00376Z
BLUE SHIELD
CA
Enumeration date
07/23/2006
Last updated
08/22/2020
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