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
Phone: (714) 633-3145
Fax: (714) 633-0145
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508835786 | NPPES |
California | MEDICAID | 00G638660 |
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