Individual provider · Type 1 NPI

Vivian Wong

Student in an Organized Health Care Education/Training Program · La Jolla, CA

NPI number 1629860143 Active

Practice location

9500 Gilman Dr
La Jolla, CA 92093-2442

Call (858) 534-0830 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant 363AM0700XNone listed
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 1629860143

Vivian Wong's National Provider Identifier is 1629860143, issued on May 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in La Jolla, CA. The record was last updated on May 27, 2025.