Wong, Angelica Pamela
Wong, Angelica Pamela is an individual health care provider with primary practice located at 151 S Mednik Ave , Los Angeles CA 90022-1606. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Wong, Angelica Pamela can be contacted via phone (323) 263-3303.Contact Information
Primary practice address
151 S Mednik Ave
Los Angeles CA 90022-1606
Phone: (323) 263-3303
Fax: (323) 263-3341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 54667 | California |
Profile Details
| NPI number | 1609920529 |
|---|---|
| LBN Legal business name | Wong, Angelica Pamela |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609920529 | NPPES |
| California | Other | 54667 | DELTA DENTAL |
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