Wong, Jennifer Lynn

Wong, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 1310 W Stewart Dr Suite 603, Orange CA 92868-3854. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wong, Jennifer Lynn can be contacted via phone (714) 633-3145.

Contact Information

Primary practice address
1310 W Stewart Dr Suite 603 Orange CA 92868-3854
Fax: (714) 633-0145
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G63866 California

Profile Details

NPI number 1508835786
LBN Legal business name Wong, Jennifer Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2006
Last updated Nov 11th, 2021 - about 3 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 1508835786 NPPES
California MEDICAID 00G638660

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