Jair Wong, Md, Inc

LBN: Jair Wong, Md, Inc
Jair Wong, Md, Inc is an health care organization with primary practice located at 1535 W Merced Ave Suite #102, West Covina CA 91790. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jair Wong, Md, Inc can be contacted via phone (626) 962-9108, or through Wong, Jair via phone (626) 962-9108.

Contact Information

Primary practice address
1535 W Merced Ave Suite #102 West Covina CA 91790
Phone: (626) 962-9108
Fax: (626) 960-7337
Website:
Map and Directions
Authorized official contact:
Name: Wong, Jair Doctor of Medicine (MD)
Phone: (626) 962-9108

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G75543 California

Profile Details

NPI number 1396771960
LBN Legal business name Jair Wong, Md, Inc
DBA Doing business as
Authorized official Wong, Jair Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Jun 6th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396771960 NPPES
California MEDICAID WG75543F

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