Individual
MAIDA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MED PLAZA, SUITE #365,420,214,530,120, LOS ANGELES, CA 90095-0001
(310) 825-7992
Mailing address
1000 VETERAN AVE #32-59, LOS ANGELES, CA 90095-0001
(310) 825-7992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A91962
CA
207RR0500X
Rheumatology Physician
Primary
A91962
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A919620
—
CA
Enumeration date
07/30/2007
Last updated
02/13/2013
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