Individual
DR. CHRISTINE S WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1125 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904-1418
(415) 456-9680
Mailing address
601 VAN NESS AVE # E3619, SAN FRANCISCO, CA 94102-3200
(415) 531-9047
(415) 369-1240
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
913102
CA
2084V0102X
Vascular Neurology Physician
Primary
913102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100538
STATE MEDICAL LICENSE
CA
Enumeration date
06/24/2008
Last updated
03/30/2022
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