Wong, Eric J
Wong, Eric J is an individual health care provider with primary practice located at 29472 Avenida De Las Bandera , Rancho Santa Margarita CA 92688-2651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wong, Eric J can be contacted via phone (949) 459-9968.Contact Information
Primary practice address
29472 Avenida De Las Bandera
Rancho Santa Margarita CA 92688-2651
Phone: (949) 459-9968
Fax: (949) 766-2565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G75361 | California |
Profile Details
| NPI number | 1104808161 |
|---|---|
| LBN Legal business name | Wong, Eric J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Nov 14th, 2023 - about 2 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 | 1104808161 | NPPES |
| California | MEDICAID | 00G753610 |
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