Wong, Douglas S

Wong, Douglas S is an individual health care provider with primary practice located at 7130 N Millbrook Ave , Fresno CA 93720-3347. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wong, Douglas S can be contacted via phone (559) 450-5500.

Contact Information

Primary practice address
7130 N Millbrook Ave Fresno CA 93720-3347
Phone: (559) 450-5500
Fax: (559) 450-7473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G45487 California

Profile Details

NPI number 1699778399
LBN Legal business name Wong, Douglas S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jul 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699778399 NPPES
California MEDICAID 00G454870

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