Wong, Andrew C

Wong, Andrew C is an sole proprietor health care provider with primary practice located at 259 Meridian Ave Ste 15 , San Jose CA 95126-2905. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Wong, Andrew C can be contacted via phone (408) 297-9852.

Contact Information

Primary practice address
259 Meridian Ave Ste 15 San Jose CA 95126-2905
Fax: (408) 297-9859
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A52688 California

Profile Details

NPI number 1851319834
LBN Legal business name Wong, Andrew C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1851319834 NPPES
California MEDICAID 00A526881

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