Individual
DARRYL S. WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3629 VISTA WAY, OCEANSIDE, CA 92056-4522
(760) 828-9200
(760) 828-9141
Mailing address
3629 VISTA WAY, OCEANSIDE, CA 92056-4522
(760) 828-9200
(760) 828-9141
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G70557
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G70557
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070008464
RAILROAD MEDICARE
CA
Enumeration date
06/10/2006
Last updated
01/19/2023
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