Gregory Kelii Wong M.D.

NPI 1386977288 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1386977288
Gender Male
Enumeration Date 09/09/2009
Last Updated 02/10/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
1201 W LA VETA AVE
ORANGE CA, 92868-4203, US
Phone (714) 509-4099
Fax (714) 509-3301
Business Location
1201 W LA VETA AVE
ORANGE CA, 92868-4203, US
Phone (714) 509-4099
Fax (714) 509-3301
Toxanomy
Taxonomy Code 390200000X
License State North Carolina
License Number 159602
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According to our database, Gregory Kelii Wong M.D. NPI is 1386977288, taxonomy code is 390200000X and license number is 159602, license state is located at North Carolina. Gregory Kelii Wong M.D. physically located at 1201 W La Veta Ave, Orange CA, 92868-4203. NPI Number Gregory Kelii Wong M.D. has the Individual type.

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1386977288 NPI number is provided on an as is basis without warranty of any kind. 1386977288 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Kelii Wong M.D. are for informational purposes only.