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Individual

DR. ALEXIS D WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
25 S OAK KNOLL AVE APT 225, PASADENA, CA 91101-2150
(626) 808-2437
Mailing address
25 S OAK KNOLL AVE APT 225, PASADENA, CA 91101-2150
(626) 808-2437

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
A90936
CA

Other

Enumeration date
06/08/2006
Last updated
01/15/2009
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