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ELIZABETH WONG, CRNA APNC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH WONG CRNA (PRESIDENT)
(818) 620-3692
Entity
Organization

Contact information

Practice address
10760 WARNER AVE STE 102, FOUNTAIN VALLEY, CA 92708-3845
(818) 620-3692
(888) 270-0331
Mailing address
2603 KIRSTEN LEE DR, WESTLAKE VILLAGE, CA 91361-5573
(818) 620-3692
(888) 270-0331

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA2435
CA

Other

Enumeration date
05/11/2011
Last updated
05/11/2011
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