Individual
AMY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2119 S EL CAMINO REAL, OCEANSIDE, CA 92054-6202
(760) 757-3070
Mailing address
2119 S EL CAMINO REAL, OCEANSIDE, CA 92054-6202
(760) 757-3070
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E5540
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5540
CA
Other
Enumeration date
04/15/2016
Last updated
10/21/2024
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