Individual provider · Type 1 NPI

Ivan Ho-Bun Wong, MD

Specialist · Van Nuys, CA

NPI number 1043472772 Active

Practice location

6815 Noble Ave
Van Nuys, CA 91405-3796

Call (818) 901-6600 Map

Fax (818) 997-7826

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA100539 (CA)

Specialist: 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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About NPI 1043472772

Ivan Ho-Bun Wong, MD's National Provider Identifier is 1043472772, issued on Jun 25, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Van Nuys, CA. The record was last updated on Jun 25, 2008.