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Bowen Y. Wong Md
Medical Specialty Clinic/Center in Oakland, California
NPI 1508085150

Bowen Y. Wong Md is a Medical Specialty Clinic/Center based in Oakland, CA and is specialized in Medical Specialty. Bowen Y. Wong Md practices in Oakland, CA. The NPI Number for Bowen Y. Wong Md is 1508085150 and holds a License No. G058245 (California).

The current practice location address for Bowen Y. Wong Md is 3100 Telegraph Ave Ste 1000, Oakland, CA and can be reached out via phone at 510-663-6658.

Location: 3100 Telegraph Ave Ste 1000, Oakland, CA, 94609-3210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508085150
Provider Name
Bowen Y. Wong Md
Credential
Provider Entity Type
Organization
Address
3100 Telegraph Ave Ste 1000, Oakland, CA, 94609-3210
Phone Number
510-663-6658
Fax Number
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1114986742 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
3100 Telegraph Ave Ste 1000
City
Oakland
State
California
Zip
94609-3210
Phone Number
510-663-6658
Fax Number
person
Provider Business Mailing Address Details
Address
3100 Telegraph Ave Ste 1000
City
Oakland
State
California
Zip
94609-3210
Phone Number
510-663-6658
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
G058245 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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