Individual provider · Type 1 NPI
Michael L. Wong, DC
Chiropractor · Oakland, CA
NPI number
1043394364
Active
Practice location
401 Grand Avenue, 370
Oakland, CA 94610-5046
Fax (510) 444-1180
Mailing address
15520 Rockfield Blvd A200
Irvine, CA 92618-6705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC15075 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1043394364
Michael L. Wong, DC's National Provider Identifier is 1043394364, issued on Oct 24, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Oakland, CA. The record was last updated on Oct 27, 2015.