Grace I Wong is a Internal Medicine in Burbank, California. Grace I Wong practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Grace I Wong is 1053504902. The last update date is 2017-10-18.
Grace I Wong's current location address is 3808 W Riverside Drive, Burbank, California. You can contact this provider via phone number 8185631449 and fax number 8185631049. The mailing address for Grace I Wong is 3808 W Riverside Drive, Burbank, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Grace I Wong |
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Address | 3808 W Riverside Drive, Burbank, California |
Phone Number | 8185631449 |
Fax Number | 8185631049 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1053504902 |
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Provider Enumeration Date | 2007-08-23 |
Last Updated Date | 2017-10-18 |
Provider Mailing Address Detail
Address | 3808 W Riverside Drive |
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City | Burbank |
State | California (CA) |
Post Code | 91505 |
Phone Number | 8185631449 |
Fax Number | 8185631049 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | MD 432620 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
101996474 | PA | -- | |
1659648384 | CA | NPI TYP 2 |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Grace I Wong by the Centers for Medicare & Medicaid Services?
The Grace I Wong has been issued the NPI (National Provider Identifier) 1053504902 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Grace I Wong is located?
The Grace I Wong is situated at the following address: 3808 W Riverside Drive, Burbank, CA, 91505.
What is the Grace I Wong's area of specialization and corresponding taxonomy classification?
The Grace I Wong's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053504902 to Grace I Wong?
The Centers for Medicare & Medicaid Services originally issued the 1053504902 to Grace I Wong on 2007-08-23.
When was the Grace I Wong's information last updated?
The Grace I Wong's information was last updated on 2017-10-18.