Gordon K Wong is a General Practice in Alhambra, California. Gordon K Wong practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gordon K Wong is 1639345184. The last update date is 2010-03-25.
Gordon K Wong's current location address is 409 W Main St, Alhambra, California. You can contact this provider via phone number 6263821263 and fax number 6263821252. The mailing address for Gordon K Wong is 409 W Main St, Alhambra, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon K Wong |
|---|---|
| Address | 409 W Main St, Alhambra, California |
| Phone Number | 6263821263 |
| Fax Number | 6263821252 |
| Sole Proprietor | N |
| Credentials | M.D., PH.D |
NPI Number Detail
| NPI Number | 1639345184 |
|---|---|
| Provider Enumeration Date | 2008-05-05 |
| Last Updated Date | 2010-03-25 |
Provider Mailing Address Detail
| Address | 409 W Main St |
|---|---|
| City | Alhambra |
| State | California (CA) |
| Post Code | 918013433 |
| Phone Number | 6263821263 |
| Fax Number | 6263821252 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | A71751 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique 10-digit identification code assigned to Gordon K Wong by the Centers for Medicare & Medicaid Services?
The Gordon K Wong has been issued the NPI (National Provider Identifier) 1639345184, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gordon K Wong's physical address?
The Gordon K Wong is physically located at 409 W Main St, in the city of Alhambra, CA, with the postal code 918013433.
What is the Gordon K Wong's specialty and taxonomy code?
The Gordon K Wong's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date did Gordon K Wong receive its 1639345184 assignment from the Centers for Medicare & Medicaid Services?
The Gordon K Wong was assigned its 1639345184 on 2008-05-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Gordon K Wong most recently updated or revised?
The details related to Gordon K Wong, including its address, specialty, and other relevant information, were last updated or revised on 2010-03-25.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA