Wong, David T

Wong, David T is an individual health care provider with primary practice located at 400 N Pepper Ave Armc - Mob Suite 308, Colton CA 92324. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Wong, David T can be contacted via phone (909) 580-6210.

Contact Information

Primary practice address
400 N Pepper Ave Armc - Mob Suite 308 Colton CA 92324
Phone: (909) 580-6210
Fax: (909) 580-1363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 00G806640 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 00G806640 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 00G806640 California

Profile Details

NPI number 1841307535
LBN Legal business name Wong, David T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Mar 10th, 2020 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841307535 NPPES
California MEDICAID GR0079700

Popular Providers