Wong, Jair
Wong, Jair is an sole proprietor health care provider with primary practice located at 906 S Sunset Ave Ste 102 , West Covina CA 91790-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wong, Jair can be contacted via phone (626) 962-9108.Contact Information
Primary practice address
906 S Sunset Ave Ste 102
West Covina CA 91790-3400
Phone: (626) 962-9108
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G75543 | California |
Profile Details
| NPI number | 1972541266 |
|---|---|
| LBN Legal business name | Wong, Jair |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Oct 8th, 2018 - 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 | 1972541266 | NPPES |
| California | MEDICAID | WG75543F |
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