| Jennifer L Wong M D Inc | |
|
1310 W Stewart Dr Suite 603 Orange CA 92868-3854 | |
| (714) 633-3145 | |
| (714) 633-0145 |
| Full Name | Jennifer L Wong M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1310 W Stewart Dr, Orange, California |
| Authorized Official Name and Position | Jennifer Lynn Wong (CEO) |
| Authorized Official Contact | 7146333145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Wong M D Inc 1310 W Stewart Dr Suite 603 Orange CA 92868-3854 Ph: (714) 633-3145 | Jennifer L Wong M D Inc 1310 W Stewart Dr Suite 603 Orange CA 92868-3854 Ph: (714) 633-3145 |
| NPI Number | 1558670109 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 12/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558670109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G063866 (California) | Primary |
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