Individual provider · Type 1 NPI
Oi Shan Wong, N.P.
Gerontology Nurse Practitioner · San Jose, CA
NPI number
1144610122
Active
Practice location
255 N White Rd Ste 200B
San Jose, CA 95127-1966
Fax (408) 503-7651
Other practice locations
- 21506 Lostine Ave, Carson, CA 90745-1718 · (310) 753-7872
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95001919 (CA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95001919 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1144610122
Oi Shan Wong, N.P.'s National Provider Identifier is 1144610122, issued on Jan 29, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in San Jose, CA. The record was last updated on Jul 21, 2022.