Wong, Edward Kern
Wong, Edward Kern is an individual health care provider with primary practice located at 14911 National Ave Ste 3, Los Gatos CA 95032-2632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wong, Edward Kern can be contacted via phone (408) 356-9121.Contact Information
Primary practice address
14911 National Ave Ste 3
Los Gatos CA 95032-2632
Phone: (408) 356-9121
Fax: (408) 356-4628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G69030 | California |
Profile Details
| NPI number | 1093702151 |
|---|---|
| LBN Legal business name | Wong, Edward Kern |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Mar 20th, 2019 - about 5 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 | 1093702151 | NPPES |
| California | MEDICAID | GR0082830 |
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