Wong, Jason T

Wong, Jason T is an individual health care provider with primary practice located at 24411 Health Center Dr Suite 350, Laguna Hills CA 92653-3651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wong, Jason T can be contacted via phone (310) 923-4556.

Contact Information

Primary practice address
24411 Health Center Dr Suite 350 Laguna Hills CA 92653-3651
Phone: (310) 923-4556
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 227262 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X A113420 California

Profile Details

NPI number 1780641704
LBN Legal business name Wong, Jason T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 10th, 2013 - about 11 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 1780641704 NPPES
Massachusetts MEDICAID 2120917

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