Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY T WONG PHARM.D. (PHARMACIST MANAGER)
(714) 748-6320
Entity
Organization
Contact information
Practice address
4201 W CHAPMAN AVE, ORANGE, CA 92868-1505
(714) 748-7320
Mailing address
4201 W CHAPMAN AVE, ORANGE, CA 92868-1505
(714) 748-7320
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
43210
CA
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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