Wong, Raymond S
Wong, Raymond S is an individual health care provider with primary practice located at 100 W California Blvd , Pasadena CA 91105-3010. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Wong, Raymond S can be contacted via phone (626) 397-5139.Contact Information
Primary practice address
100 W California Blvd
Pasadena CA 91105-3010
Phone: (626) 397-5139
Fax: (626) 397-3409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | G13482 | California |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | G13482 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G13482 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | G13482 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | G13482 | California |
Profile Details
| NPI number | 1952391799 |
|---|---|
| LBN Legal business name | Wong, Raymond S |
| Credentials | MEDICAL DOCTOR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Sep 19th, 2007 - about 17 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 | 1952391799 | NPPES |
| California | MEDICAID | 00G134820 |
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