Wong, Carol

Wong, Carol is an individual health care provider with primary practice located at 1500 E Duarte Rd , Duarte CA 91010. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Wong, Carol can be contacted via phone (626) 359-8111.

Contact Information

Primary practice address
1500 E Duarte Rd Duarte CA 91010
Phone: (626) 359-8111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G72280 California

Profile Details

NPI number 1720045396
LBN Legal business name Wong, Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720045396 NPPES
California MEDICAID 00G722800

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