Wong, Kent Hon-Wah
Wong, Kent Hon-Wah is an individual health care provider with primary practice located at 3621 Forest Glenn Dr , Modesto CA 95355-1339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wong, Kent Hon-Wah can be contacted via phone (209) 521-9661.Contact Information
Primary practice address
3621 Forest Glenn Dr
Modesto CA 95355-1339
Phone: (209) 521-9661
Fax: (209) 521-9307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G78664 | California |
Profile Details
| NPI number | 1386628212 |
|---|---|
| LBN Legal business name | Wong, Kent Hon-Wah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Apr 20th, 2016 - about 9 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 | 1386628212 | NPPES |
| California | MEDICAID | 1902828841 |
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