Alice Wong, Do, Pc | |
2215 Artesia Blvd #1683 Redondo Beach CA 90278-6234 | |
(213) 419-0415 | |
Not Available |
Full Name | Alice Wong, Do, Pc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2215 Artesia Blvd, Redondo Beach, California |
Authorized Official Name and Position | Alice Wong (FOUNDER) |
Authorized Official Contact | 2134190415 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alice Wong, Do, Pc 2215 Artesia Blvd #1683 Redondo Beach CA 90278-6234 Ph: () - | Alice Wong, Do, Pc 2215 Artesia Blvd #1683 Redondo Beach CA 90278-6234 Ph: (213) 419-0415 |
NPI Number | 1902682842 |
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Provider Enumeration Date | 09/06/2023 |
Last Update Date | 09/06/2023 |
Certification Date | 09/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902682842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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