| Kong D Wong Md Inc | |
|
15203 11th St Suite B Victorville CA 92395-3737 | |
| (760) 245-6691 | |
| (760) 245-2671 |
| Full Name | Kong D Wong Md Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 15203 11th St, Victorville, California |
| Authorized Official Name and Position | William K Wong (PRESIDENT) |
| Authorized Official Contact | 7602456691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kong D Wong Md Inc 15203 11th St Suite B Victorville CA 92395-3737 Ph: (760) 245-6691 | Kong D Wong Md Inc 15203 11th St Suite B Victorville CA 92395-3737 Ph: (760) 245-6691 |
| NPI Number | 1740532282 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 10/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740532282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A31644 (California) | Primary |
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