Wong, Ing L

Wong, Ing L is an individual health care provider with primary practice located at 3801 Katella Ave Ste 225, Los Alamitos CA 90720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wong, Ing L can be contacted via phone (562) 594-6995.

Contact Information

Primary practice address
3801 Katella Ave Ste 225 Los Alamitos CA 90720
Fax: (562) 594-4488
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A24840 California

Profile Details

NPI number 1053408435
LBN Legal business name Wong, Ing L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Mar 9th, 2012 - about 12 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 1053408435 NPPES
California MEDICAID 00248400

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