Individual provider · Type 1 NPI
Sally Kim Wong, PA-C
Surgical Physician Assistant · Vallejo, CA
NPI number
1922105584
Active
Practice location
975 Sereno Dr
Vallejo, CA 94589-2441
Fax (707) 651-3484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA15971 (CA) |
| Surgical Physician Assistant Primary | 363AS0400X | PA15971 (CA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1922105584
Sally Kim Wong, PA-C's National Provider Identifier is 1922105584, issued on Sep 17, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Vallejo, CA. The record was last updated on Jan 3, 2022.