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
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | DC25950 (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.
4 other providers at this address
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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.