Individual
TIMOTHY PHILIP WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
25455 BARTON RD, SUITE 204B, LOMA LINDA, CA 92354-3128
(909) 558-6526
(909) 558-6033
Mailing address
FILE # 54701, LOS ANGELES, CA 90074-4701
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
20A12729
CA
Other
Enumeration date
06/21/2011
Last updated
02/06/2017
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