Wong, Alan Kong

Wong, Alan Kong is an individual health care provider with primary practice located at 107 Margaret Ln , Grass Valley CA 95945-5211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wong, Alan Kong can be contacted via phone (530) 274-9623.

Contact Information

Primary practice address
107 Margaret Ln Grass Valley CA 95945-5211
Fax: (530) 274-0590
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A50541 California

Profile Details

NPI number 1740237163
LBN Legal business name Wong, Alan Kong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Dec 3rd, 2021 - about 3 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 1740237163 NPPES
California MEDICAID 00A505411

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