Jackson W Wong in Elk Grove - Family Medicine
Jackson W Wong - NPI 1356542146
Jackson W Wong is a Family Medicine in Elk Grove, California. Jackson W Wong practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jackson W Wong is 1356542146. The last update date is 2007-07-08.
Jackson W Wong's current location address is 9241 Beach Haven Ct, Elk Grove, California. You can contact this provider via phone number 9166842098. The mailing address for Jackson W Wong is 9241 Beach Haven Ct, Elk Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackson W Wong |
|---|---|
| Address | 9241 Beach Haven Ct, Elk Grove, California |
| Phone Number | 9166842098 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1356542146 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9241 Beach Haven Ct |
|---|---|
| City | Elk Grove |
| State | California (CA) |
| Post Code | 957587611 |
| Phone Number | 9166842098 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 20A5478 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the Jackson W Wong's 1356542146?
The Jackson W Wong's NPI (National Provider Identifier) Number is 1356542146. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jackson W Wong is physically located?
The Jackson W Wong is situated at the following address: 9241 Beach Haven Ct, Elk Grove, CA 957587611.
What is Jackson W Wong's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jackson W Wong is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1356542146 to Jackson W Wong?
The Jackson W Wong received its 1356542146 assignment from the Centers for Medicare & Medicaid Services on 2007-05-30.
When was the information related to Jackson W Wong most recently updated or refreshed?
The details pertaining to the Jackson W Wong, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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