Individual provider · Type 1 NPI

John W.c. Wong, MD

Specialist · San Marino, CA

NPI number 1508109182 Active

Practice location

1613 Chelsea Rd # 803
San Marino, CA 91108-2419

Fax (626) 795-8087

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XCFE27640 (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 1508109182

John W.c. Wong, MD's National Provider Identifier is 1508109182, issued on Apr 1, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Marino, CA. The record was last updated on Apr 1, 2013.