Individual
CALVIN K WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
444 WEST C STREET, SUITE 185, SAN DIEGO, CA 92101
(619) 232-6262
(619) 232-6012
Mailing address
444 WEST C STREET, SUITE 185, SAN DIEGO, CA 92101
(619) 232-6262
(619) 232-6012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G79819
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
G79819
CA
2083X0100X
Occupational Medicine Physician
G79819
CA
Other
Enumeration date
07/08/2005
Last updated
09/29/2023
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