Richard C Wong M.D.

NPI 1063499325 - Internal Medicine - 207RC0000X

NPI Details
NPI 1063499325
Gender Male
Enumeration Date 12/28/2005
Last Updated 01/14/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
18370 BURBANK BLVD
SUITE 707
TARZANA CA, 91356-2804, US
Phone (818) 345-5580
Fax (818) 774-0458
Business Location
18370 BURBANK BLVD
SUITE 707
TARZANA CA, 91356-2804, US
Phone (818) 345-5580
Fax (818) 774-0458
Toxanomy
Taxonomy Code 207RC0000X
License State California
License Number A64059
Remove 1063499325 NPI Number
 

According to our database, Dr. Richard C Wong M.D. NPI is 1063499325, taxonomy code is 207RC0000X and license number is A64059, license state is located at California. Richard C Wong M.D. physically located at 18370 Burbank Blvd, Tarzana CA, 91356-2804. NPI Number Richard C Wong M.D. has the Individual type.

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1063499325 NPI number is provided on an as is basis without warranty of any kind. 1063499325 is maintained by the National Plan & Provider Enumeration System. The contents of Richard C Wong M.D. are for informational purposes only.