person
Michael J Wong, MD
Specialist in Los Angeles, California
NPI 1093906836

Michael J Wong is a Specialist based in Los Angeles, CA. Michael J Wong practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Michael J Wong is 1093906836 and holds a License No. G10110 (California).

The current practice location address for Michael J Wong is 201 S Alvarado St Ste 618, Los Angeles, CA and can be reached out via phone at 213-483-7766 and via fax at 213-483-0735.

Location: 201 S Alvarado St Ste 618, Los Angeles, CA, 90057-2386
person
Provider Profile Details
NPI Number
1093906836
Provider Name
Michael J Wong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
201 S Alvarado St Ste 618, Los Angeles, CA, 90057-2386
Phone Number
213-483-7766
Fax Number
213-483-0735
Provider Enumeration Date
08/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G101100 05 CA
institution
Provider Business Practice Location Address Details
Address
201 S Alvarado St Ste 618
City
State
Zip
90057-2386
Phone Number
213-483-7766
Fax Number
213-483-0735
person
Provider Business Mailing Address Details
Address
201 S Alvarado St Ste 618
City
State
Zip
90057-2386
Phone Number
213-483-7766
Fax Number
213-483-0735
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
G10110 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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