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Ellen Wong, MD
General Practice Physician in Calabasas, California
NPI 1174509723

Ellen Wong is a General Practice Physician based in Calabasas, CA. Ellen Wong practices in Calabasas, CA and has the professional credentials of MD. The NPI Number for Ellen Wong is 1174509723 and holds a License No. G37201 (California).

The current practice location address for Ellen Wong is 23622 Calabasas Rd, Calabasas, CA and can be reached out via phone at 818-591-3435.

Location: 23622 Calabasas Rd, Calabasas, CA, 91302-1549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174509723
Provider Name
Ellen Wong
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
23622 Calabasas Rd, Calabasas, CA, 91302-1549
Phone Number
818-591-3435
Fax Number
Provider Enumeration Date
12/15/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
23622 Calabasas Rd
City
Calabasas
State
California
Zip
91302-1549
Phone Number
818-591-3435
Fax Number
person
Provider Business Mailing Address Details
Address
23622 Calabasas Rd
City
Calabasas
State
California
Zip
91302-1549
Phone Number
818-591-3435
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
G37201 (California)
Definition
Definition to come...
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