Wong, Kelly Tim Tim

Wong, Kelly Tim Tim is an sole proprietor health care provider with primary practice located at 500 N Garfield Ave Ste 105 , Monterey Park CA 91754-1242. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Wong, Kelly Tim Tim can be contacted via phone (626) 288-3828.

Contact Information

Primary practice address
500 N Garfield Ave Ste 105 Monterey Park CA 91754-1242
Phone: (626) 288-3828
Fax: (626) 573-8513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A10595 California

Profile Details

NPI number 1215106448
LBN Legal business name Wong, Kelly Tim Tim
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2008
Last updated Jan 12th, 2024 - about 11 months 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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