Jennifer L Wong M D Inc | |
1310 W Stewart Dr Suite 603 Orange CA 92868-3854 | |
(714) 633-3145 | |
(714) 633-0145 |
Full Name | Jennifer L Wong M D Inc |
---|---|
Speciality | Family Medicine |
Location | 1310 W Stewart Dr, Orange, California |
Authorized Official Name and Position | Jennifer Lynn Wong (CEO) |
Authorized Official Contact | 7146333145 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jennifer L Wong M D Inc 1310 W Stewart Dr Suite 603 Orange CA 92868-3854 Ph: (714) 633-3145 | Jennifer L Wong M D Inc 1310 W Stewart Dr Suite 603 Orange CA 92868-3854 Ph: (714) 633-3145 |
NPI Number | 1558670109 |
---|---|
Provider Enumeration Date | 09/30/2010 |
Last Update Date | 12/17/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558670109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G063866 (California) | Primary |
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