Wong, Gordon

Wong, Gordon is an individual health care provider with primary practice located at 16630 Marquez Ave , Pacific Palisades CA 90272-3233. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wong, Gordon can be contacted via phone (310) 454-6000.

Contact Information

Primary practice address
16630 Marquez Ave Pacific Palisades CA 90272-3233
Phone: (310) 454-6000
Fax: (310) 454-0605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PHY36924 California

Profile Details

NPI number 1710987433
LBN Legal business name Wong, Gordon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jul 8th, 2007 - about 18 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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