Individual provider · Type 1 NPI

Mark Jeffrey Wong, DC

Chiropractor · Oakland, CA

NPI number 1720136724 Active

Practice location

3540 Grand Ave
Oakland, CA 94610-2010

Fax (510) 268-8591

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC25950 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1720136724

Mark Jeffrey Wong, DC's National Provider Identifier is 1720136724, issued on Jan 8, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Oakland, CA. The record was last updated on Jul 8, 2007.