Individual provider · Type 1 NPI

Jared Andrew Wong

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1386185601 Active

Practice location

2051 Marengo St
Los Angeles, CA 90033-1352

Call (323) 409-7556 Map

Mailing address

6159 Laguna Ct
Long Beach, CA 90803-4812

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1386185601

Jared Andrew Wong's National Provider Identifier is 1386185601, issued on Mar 20, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 6, 2021.