Wong, Jimmie

Wong, Jimmie is an individual health care provider with primary practice located at 1500 Duarte Rd , Duarte CA 91010-3012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wong, Jimmie can be contacted via phone (626) 359-8111.

Contact Information

Primary practice address
1500 Duarte Rd Duarte CA 91010-3012
Phone: (626) 359-8111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A91427 California

Profile Details

NPI number 1003865866
LBN Legal business name Wong, Jimmie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Nov 23rd, 2020 - about 5 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 1003865866 NPPES
California MEDICAID 00A914270

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