Individual provider · Type 1 NPI

Jack K. Wong, MD

Family Medicine Physician · Costa Mesa, CA

NPI number 1790725539 Active

Practice location

3200 Bristol St Ste 600
Costa Mesa, CA 92626-1810

Call (805) 217-7904 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XC50860 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1790725539

Jack K. Wong, MD's National Provider Identifier is 1790725539, issued on Jun 8, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Nov 19, 2025.