Jorge Wong is a Clinical in San Jose, California. Jorge Wong practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jorge Wong is 1689735284. The last update date is 2022-02-14.
Jorge Wong's current location address is 2400 Moorpark Ave, San Jose, California. You can contact this provider via phone number 4089752730 and fax number 4089752745. The mailing address for Jorge Wong is 2400 Moorpark Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jorge Wong |
|---|---|
| Address | 2400 Moorpark Ave, San Jose, California |
| Phone Number | 4089752730 |
| Fax Number | 4089752745 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1689735284 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2022-02-14 |
Provider Mailing Address Detail
| Address | 2400 Moorpark Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951282631 |
| Phone Number | 4089752730 |
| Fax Number | 4089752745 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY21180 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY21180 | CA | CINICAL PSYCHOLOGY LICENS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jorge Wong by the Centers for Medicare & Medicaid Services?
The Jorge Wong has been issued the NPI (National Provider Identifier) 1689735284 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jorge Wong is geographically located?
The Jorge Wong is physically situated at the following location: 2400 Moorpark Ave, San Jose, CA, 951282631.
What is the area of specialization for Jorge Wong, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jorge Wong is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1689735284 to Jorge Wong?
The Jorge Wong received its 1689735284 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.
As of what date were the Jorge Wong's details last updated?
The information pertaining to the Jorge Wong, including its address, specialty, and other details, was most recently updated on 2022-02-14.
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