Wong, Jennifer L

Wong, Jennifer L is an individual health care provider with primary practice located at 18111 Brookhurst St Ste 5100 , Fountain Valley CA 92708-6728. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Wong, Jennifer L can be contacted via phone (714) 546-2238.

Contact Information

Primary practice address
18111 Brookhurst St Ste 5100 Fountain Valley CA 92708-6728
Phone: (714) 546-2238
Fax: (714) 434-8145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A87388 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A87388 California
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X A87388 California
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X A87388 California

Profile Details

NPI number 1013029065
LBN Legal business name Wong, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 15th, 2011 - about 13 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 1013029065 NPPES
California MEDICAID 1013029065

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