Wong, Derek Alan
Wong, Derek Alan is an individual health care provider with primary practice located at 10833 Leconte Ave Mdcc 12-334, Los Angeles CA 90095-1732. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Wong, Derek Alan can be contacted via phone (310) 206-6581.Contact Information
Primary practice address
10833 Leconte Ave Mdcc 12-334
Los Angeles CA 90095-1732
Phone: (310) 206-6581
Fax: (310) 206-8616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | G73118 | California |
| Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics | 207SG0202X | G73118 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G73118 | California |
Profile Details
| NPI number | 1134199946 |
|---|---|
| LBN Legal business name | Wong, Derek Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jan 9th, 2015 - about 10 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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