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Dr. Tin Wong, DO
Adult Medicine Physician in Los Angeles, California
NPI 1588927552

Tin Wong is an Adult Medicine Physician based in Los Angeles, CA and is specialized in Adult Medicine. Tin Wong practices in Los Angeles, CA and has the professional credentials of DO. The NPI Number for Tin Wong is 1588927552 and holds a License No. OT014708 (California).

The current practice location address for Tin Wong is 711 W College St, Los Angeles, CA and can be reached out via phone at 213-625-3182.

Location: 711 W College St, Los Angeles, CA, 90012-1093
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588927552
Provider Name
Tin Wong
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
711 W College St, Los Angeles, CA, 90012-1093
Phone Number
213-625-3182
Fax Number
Provider Enumeration Date
06/24/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
711 W College St
City
Los Angeles
State
California
Zip
90012-1163
Phone Number
213-625-3182
Fax Number
person
Provider Business Mailing Address Details
Address
711 W College St
City
Los Angeles
State
California
Zip
90012-1163
Phone Number
213-625-3182
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
20A13729 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
P13-00487 (New Jersey)
Definition
Definition to come.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
OT014708 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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