Jair Wong, Md, Inc in West Covina - Internal Medicine

Jair Wong, Md, Inc - NPI 1396771960

Jair Wong, Md, Inc is a Internal Medicine in West Covina, California. Jair Wong, Md, Inc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jair Wong, Md, Inc is 1396771960. The last update date is 2012-06-06.

Jair Wong, Md, Inc's current location address is 1535 W Merced Ave, West Covina, California. You can contact this provider via phone number 6269629108 and fax number 6269607337. The mailing address for Jair Wong, Md, Inc is 1535 W Merced Ave, West Covina, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jair Wong, Md, Inc
Address 1535 W Merced Ave, West Covina, California
Phone Number 6269629108
Fax Number 6269607337
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wong Jair
Credentials MD
Telephone Number 6269629108

NPI Number Detail

NPI Number 1396771960
Provider Enumeration Date 2006-06-24
Last Updated Date 2012-06-06

Provider Mailing Address Detail

Address 1535 W Merced Ave
City West Covina
State California (CA)
Post Code 91790
Phone Number 6269629108
Fax Number 6269607337

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No G75543
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
WG75543F CA --

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FAQs about Jair Wong, Md, Inc

What is the unique provider identifier assigned to Jair Wong, Md, Inc?

The Jair Wong, Md, Inc has been issued the NPI (National Provider Identifier) 1396771960 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Jair Wong, Md, Inc is physically located?

The Jair Wong, Md, Inc is situated at the following address: 1535 W Merced Ave, West Covina, CA 91790.

What is Jair Wong, Md, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jair Wong, Md, Inc's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1396771960 to Jair Wong, Md, Inc?

The Centers for Medicare & Medicaid Services originally issued the 1396771960 to Jair Wong, Md, Inc on 2006-06-24.

As of what date was the information regarding Jair Wong, Md, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jair Wong, Md, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-06.

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