Wong, Jane P

Wong, Jane P is an individual health care provider with primary practice located at 400 N. Pepper Ave Surgery Dept 6Th Floor, Colton CA 92324. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wong, Jane P can be contacted via phone (909) 580-6210.

Contact Information

Primary practice address
400 N. Pepper Ave Surgery Dept 6Th Floor Colton CA 92324
Phone: (909) 580-6210
Fax: (909) 580-1363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA19420 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA19420 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA19420 California

Profile Details

NPI number 1295917342
LBN Legal business name Wong, Jane P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2007
Last updated Nov 17th, 2015 - about 10 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 1295917342 NPPES
California MEDICAID GR0079700

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