Wong, Carlene J.
Wong, Carlene J. is an individual health care provider with primary practice located at 710 Lawrence Expy , Santa Clara CA 95051-5173. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Wong, Carlene J. can be contacted via phone (408) 851-1000.Contact Information
Primary practice address
710 Lawrence Expy
Santa Clara CA 95051-5173
Phone: (408) 851-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | G71359 | California |
Profile Details
| NPI number | 1235216193 |
|---|---|
| LBN Legal business name | Wong, Carlene J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Dec 2nd, 2021 - about 4 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 | 1235216193 | NPPES |
| California | MEDICAID | 00G713590 |
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