Wu, Kong-Tay
Wu, Kong-Tay is an individual health care provider with primary practice located at 1818 N Orange Grove Ave #200, Pomona CA 91767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wu, Kong-Tay can be contacted via phone (909) 622-6433.Contact Information
Primary practice address
1818 N Orange Grove Ave #200
Pomona CA 91767
Phone: (909) 622-6433
Fax: (909) 469-2524
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A30553 | California |
Profile Details
NPI number | 1538149919 |
---|---|
LBN Legal business name | Wu, Kong-Tay |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 20th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1538149919 | NPPES |
California | MEDICAID | 00A305530 |
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