Wong, Gregory San

Wong, Gregory San is an individual health care provider with primary practice located at 1700 Cesar Chavez Ave Senior Care Clinic, Los Angeles CA 90033-2414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Wong, Gregory San can be contacted via phone (323) 307-0800.

Contact Information

Primary practice address
1700 Cesar Chavez Ave Senior Care Clinic Los Angeles CA 90033-2414
Phone: (323) 307-0800
Fax: (323) 307-0803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A96833 California

Profile Details

NPI number 1336294875
LBN Legal business name Wong, Gregory San
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Oct 1st, 2009 - about 15 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 1336294875 NPPES
California MEDICAID 00A968330

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