Lee, Victor Wong

Lee, Victor Wong is an individual health care provider with primary practice located at 111 Elm St , San Diego CA 92101-2692. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Lee, Victor Wong can be contacted via phone (619) 677-3800.

Contact Information

Primary practice address
111 Elm St San Diego CA 92101-2692
Phone: (619) 677-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 35-058968 Ohio
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A45617 California

Profile Details

NPI number 1205903994
LBN Legal business name Lee, Victor Wong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jun 7th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205903994 NPPES
Ohio MEDICAID 0826913
Ohio Other LE0670205

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