Wong, Susie Yin-Peng
Wong, Susie Yin-Peng is an sole proprietor health care provider with primary practice located at 18617 Gale Ave , City Of Industry CA 91748-1342. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Wong, Susie Yin-Peng can be contacted via phone (626) 912-1871.Contact Information
Primary practice address
18617 Gale Ave
City Of Industry CA 91748-1342
Phone: (626) 912-1871
Fax: (626) 912-6766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | C042888 | California |
Profile Details
| NPI number | 1144250994 |
|---|---|
| LBN Legal business name | Wong, Susie Yin-Peng |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Apr 18th, 2012 - about 12 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 | 1144250994 | NPPES |
| California | MEDICAID | 00C428880 |
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