| David Y Wong Md Inc | |
|
3220 Sepulveda Blvd Suite 103 Torrance CA 90505-8160 | |
| (310) 326-8625 | |
| (310) 326-1735 |
| Full Name | David Y Wong Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3220 Sepulveda Blvd, Torrance, California |
| Authorized Official Name and Position | David Y Wong (OWNER) |
| Authorized Official Contact | 3103268625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Y Wong Md Inc 3220 Sepulveda Blvd Suite 103 Torrance CA 90505-2744 Ph: (310) 326-8625 | David Y Wong Md Inc 3220 Sepulveda Blvd Suite 103 Torrance CA 90505-8160 Ph: (310) 326-8625 |
| NPI Number | 1104130897 |
|---|---|
| Provider Enumeration Date | 08/05/2010 |
| Last Update Date | 08/09/2010 |
| Medicare PECOS PAC ID | 1355475401 |
|---|---|
| Medicare Enrollment ID | O20100811001066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104130897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G27287 (California) | Primary |
| Provider Name | David Y Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821167875 PECOS PAC ID: 3971637026 Enrollment ID: I20100811001094 |
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