Wong, Grace K.
Wong, Grace K. is an individual health care provider with primary practice located at 80 N Lake Ave #102, Pasadena CA 91101-5626. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wong, Grace K. can be contacted via phone (626) 356-8088.Contact Information
Primary practice address
80 N Lake Ave #102
Pasadena CA 91101-5626
Phone: (626) 356-8088
Fax: (626) 356-8078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 10607T | California |
Profile Details
| NPI number | 1467423301 |
|---|---|
| LBN Legal business name | Wong, Grace K. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | May 1st, 2017 - about 7 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 | 1467423301 | NPPES |
| California | MEDICAID | SD0106070 |
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