Individual provider · Type 1 NPI
Spencer Wong, PA-C
Surgical Physician Assistant · La Jolla, CA
NPI number
1225787989
Active
Practice location
9898 Genesee Ave Fl 3
La Jolla, CA 92037-1205
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA61187 (CA) |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
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About NPI 1225787989
Spencer Wong, PA-C's National Provider Identifier is 1225787989, issued on Mar 21, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in La Jolla, CA. The record was last updated on Jun 21, 2022.