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I Lane Wong, MD
Specialist in Irvine, California
NPI 1104036599

I Lane Wong is a Specialist based in Irvine, CA. I Lane Wong practices in Irvine, CA and has the professional credentials of MD. The NPI Number for I Lane Wong is 1104036599 and holds a License No. G59317 (California).

The current practice location address for I Lane Wong is 2500 Alton Pkwy, Irvine, CA and can be reached out via phone at 949-387-3888 and via fax at 949-387-3907.

Location: 2500 Alton Pkwy, Irvine, CA, 92606-5024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104036599
Provider Name
I Lane Wong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 Alton Pkwy, Irvine, CA, 92606-5024
Phone Number
949-387-3888
Fax Number
949-387-3907
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G59317 01 CA MEDICAL LICENSE NUMBER
INF1012 01 CA MONARCH HEALTHCARE ID
00G9317 01 CA BLUE SHIELD ID
institution
Provider Business Practice Location Address Details
Address
2500 Alton Pkwy
City
Irvine
State
California
Zip
92606-5024
Phone Number
949-387-3888
Fax Number
949-387-3907
person
Provider Business Mailing Address Details
Address
2500 Alton Pkwy
City
Irvine
State
California
Zip
92606-5024
Phone Number
949-387-3888
Fax Number
949-387-3907
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G59317 (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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