William Wong O.D.

NPI 1023196706 - Optometrist - 152W00000X

NPI Details
NPI 1023196706
Gender Male
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
16866 SEVILLE AVE
FONTANA CA, 92335-3561, US
Phone (909) 350-1524
Fax (909) 350-8546
Business Location
16866 SEVILLE AVE
P.O. BOX 2020
FONTANA CA, 92335-3561, US
Phone (909) 350-1524
Fax (909) 350-8546
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 5618T
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According to our database, Dr. William Wong O.D. NPI is 1023196706, taxonomy code is 152W00000X and license number is 5618T, license state is located at California. William Wong O.D. physically located at 16866 Seville Ave, Fontana CA, 92335-3561. NPI Number William Wong O.D. has the Individual type.

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1023196706 NPI number is provided on an as is basis without warranty of any kind. 1023196706 is maintained by the National Plan & Provider Enumeration System. The contents of William Wong O.D. are for informational purposes only.